Establishing school-centered asthma programs

Future Research Directions in Asthma. An NHLBI Working Group Report

“…In asthma, implementation research integrates the relevant context in which care occurs, the needs and concerns of patients, the most appropriate provider and location for care to occur, and the organizations and communities in which patients live and care providers work. Current examples of advances made through implementation research include interventions to achieve evidence-based practices in some communities (35) and use of school programs (36,37) for children with asthma.…”

Examining causes of the urban (inner city) asthma epidemic: Implementing new management strategies

“…14,15 The school system can also be supportive in reinforcing key messages in the medical treatment plan and in notifying the asthma care provider if poor adherence to the treatment plan is noted. Overall, a population health approach could also be useful to identify overuse of urgent care settings for periodic treatment.…”

“…This school-centered asthma program includes case management according to the asthma risk level for the individual student; use of school asthma care plans; onsite quick relief inhalers; asthma education for students, families, and school staff; and the buildout and optimization of existing information technology platforms in the schools. 14 This program makes a significant contribution because it combines a multifaceted school-centered program and a multifaceted asthma care provider program while identifying barriers to overcome. Models of asthma care that place schools at the center and coordinate evidence-based asthma care are applicable nationwide and may serve as a model for managing other chronic illnesses.…”

Advances in pediatric asthma in 2014: Moving toward a population health perspective

“…Schools can play an important role in supporting children with asthma in assisting the family and clinician in implementing a treatment plan. 85 Models of asthma care that place schools at the center or core of the model and coordinate evidence-based asthma care are applicable nationwide and might serve as a model for managing other chronic illnesses. 85 To implement such programs could require significant changes in public policy guided by asthma experts.…”

“…85 Models of asthma care that place schools at the center or core of the model and coordinate evidence-based asthma care are applicable nationwide and might serve as a model for managing other chronic illnesses. 85 To implement such programs could require significant changes in public policy guided by asthma experts. 86 The school environment is also a source of environmental exposure, and the asthma expert can play a role in assisting schools in minimizing such exposures.…”