Preventive asthma medication discontinuation among children enrolled in fee-for-service Medicaid

Capó‐Ramos, David E.; Duran, Catherine; Simon, Alan E.; Akinbami, Lara J.; Schoendorf, Kenneth C.

doi:10.3109/02770903.2014.895010

Cited by 22 publications

(30 citation statements)

References 38 publications

(90 reference statements)

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“…18 More than 60% of children covered by public health insurance discontinue prescribed asthma medications within 3 months of starting them, with minorities and children from disadvantaged families being more likely to do so. 19 Analyses from the present study show that children with asthma with public health insurance were more likely to delay or not fill prescribed medications because of cost compared to children with private insurance or the general population. Co-payments in low-income populations adversely affect the likelihood of filling prescription medications, especially in sicker individuals.…”

Section: Discussionmentioning

confidence: 81%

Population Health Considerations for Pediatric Asthma: Findings from the 2011–2012 California Health Interview Survey

Shaikh

Byrd

2016

Population Health Management

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Childhood asthma is a prevalent and costly chronic condition. Optimal management enables secondary and tertiary prevention. The goal was to identify population health considerations for pediatric asthma in California to inform the development of quality improvement interventions. California Health Interview Survey 2011-2012 is a random-digit dial telephone survey conducted in 5 languages. It includes 44,000 households from all 58 counties in California. This study assessed factors related to symptom control and health care use in children ages 2-11 years with asthma. An estimated 492,385 (9.6%) of children in California currently have asthma. Urban and rural residents face comparable asthma disease burdens. School-age male children as well as Asian and African American children are disproportionately affected. Asthma causes significant morbidity, with poorer health status, high utilization of emergency care, and the need for daily medication use. Only 38% of children with asthma have a recent asthma management plan. Half of all children with asthma did not receive influenza immunization in the past year, although this reflects the overall low rate of influenza vaccination. Parents of children with asthma frequently utilize the Internet for health information and communication with their child's health care provider. Children with asthma in California face several population-level challenges, including poor health status, low influenza vaccination rates, high use of emergency care, and suboptimal use of health literacy tools. Focusing on improved care coordination and preventive care for high-risk groups is especially urgent given the expansion of public health insurance and impending shortages in the primary care workforce. (Population Health Management 2015;xx:xxx-xxx)

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Section: Discussionmentioning

confidence: 81%

Population Health Considerations for Pediatric Asthma: Findings from the 2011–2012 California Health Interview Survey

Shaikh

Byrd

2016

Population Health Management

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“…Third, the 2013 YRBS did not include information on prescribed asthma medication, current asthma status, or asthma severity. Research investigating the impact of medications with leukotriene modifiers such as inhalers and steroids has been of interest since the Food and Drug Administration mandated medication labels to contain information on possible suicidality in 2009 . Other researchers have observed that parents of children with harsh asthma conditions were more troubled about their children being victims of bullying .…”

Section: Discussionmentioning

confidence: 99%

“…Research investigating the impact of medications with leukotriene modifiers such as inhalers and steroids has been of interest since the Food and Drug Administration mandated medication labels to contain information on possible suicidality in 2009. [36][37][38][39] Other researchers have observed that parents of children with harsh asthma conditions were more troubled about their children being victims of bullying. 20 Thus, the ability to include more information on the medication prescribed to control asthma symptoms, asthma symptoms at the time of the survey, and severity of asthma could provide a better understanding of the relationship among having asthma, being bullied, and exhibiting suicidal ideation and/or behaviors.…”

Section: Limitationsmentioning

confidence: 99%

The Effects of Asthma and Bullying on Suicidal Behaviors Among US Adolescents

Muhammad

Korte

Bowman

et al. 2018

Journal of School Health

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“…Assessing asthma severity 18 studies used 20 different algorithms to assess asthma severity (supplementary table E10) as binary (i.e. severe versus nonsevere asthma) [15,23,[25][26][27][28][29][30][31][32][33][34][35][36][37][38] or ordinal variables (mild, moderate and severe asthma [39]; low-, moderate-and high-risk asthma [40]). The algorithms were based on one or more of the following asthma-related variables: number and/or dosage of prescriptions (i.e.…”

Section: Defining Asthmamentioning

confidence: 99%

Defining asthma and assessing asthma outcomes using electronic health record data: a systematic scoping review

et al. 2017

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There is currently no consensus on approaches to defining asthma or assessing asthma outcomes using electronic health record-derived data. We explored these approaches in the recent literature and examined the clarity of reporting.We systematically searched for asthma-related articles published between January 1, 2014 and December 31, 2015, extracted the algorithms used to identify asthma patients and assess severity, control and exacerbations, and examined how the validity of these outcomes was justified.From 113 eligible articles, we found significant heterogeneity in the algorithms used to define asthma (n=66 different algorithms), severity (n=18), control (n=9) and exacerbations (n=24). For the majority of algorithms (n=106), validity was not justified. In the remaining cases, approaches ranged from using algorithms validated in the same databases to using nonvalidated algorithms that were based on clinical judgement or clinical guidelines. The implementation of these algorithms was suboptimally described overall.Although electronic health record-derived data are now widely used to study asthma, the approaches being used are significantly varied and are often underdescribed, rendering it difficult to assess the validity of studies and compare their findings. Given the substantial growth in this body of literature, it is crucial that scientific consensus is reached on the underlying definitions and algorithms.

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Preventive asthma medication discontinuation among children enrolled in fee-for-service Medicaid

Abstract: More than 60% of children enrolled in fee-for-service Medicaid/CHIP discontinued preventive asthma medications by 90 d. Risk was increased for minorities and children from disadvantaged households. Understanding these factors may inform future pediatric asthma guidelines.

Cited by 22 publications

References 38 publications

Population Health Considerations for Pediatric Asthma: Findings from the 2011–2012 California Health Interview Survey

Population Health Considerations for Pediatric Asthma: Findings from the 2011–2012 California Health Interview Survey

The Effects of Asthma and Bullying on Suicidal Behaviors Among US Adolescents

Defining asthma and assessing asthma outcomes using electronic health record data: a systematic scoping review

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