Reported Difficulties in Access to Quality Care for Children With Asthma in the Inner City

Abstract

To characterize perceived access and barriers to quality health care for asthma among the caregivers of children in the inner city.

Asthma Care and Management Before an Emergency Department Visit in Children in Western Michigan: How Well Does Care Adhere to Guidelines?

“…Again, these findings are consistent with those of other ED-based studies, although most have reported even lower use of ICS or other long-term control medications. 8,10,11,[15][16][17][18] Our study found that the prevalence of undertreatment was much lower at the urban site compared with the suburban and rural sites. We can only speculate as to why this finding was observed; however, given that there were few differences in the underlying characteristics of the asthma populations across the 3 sites, the lower prevalence of undertreatment likely reflects better quality of care among subjects who attended the urban site.…”

Barriers of Asthma Care among Asthmatic Children in Saudi Arabia: Maternal Perspectives

“…Similarly, studies reported that waiting too long for an appointment, unavailability of needed care, and inconvenient hours suggest that many barriers are related to the health care service infrastructure in the inner city, where evening appointment hours and telephone advice are typically lacking. One of the findings of this study was the strong correlation demonstrated between these barriers and asthma management [20].…”

Achieving and maintaining asthma control in an urban pediatric disease management program: The Breathmobile Program

“…Finally, it is likely that asthma control in our treated population is further complicated by other unmeasured social and environmental factors that influence the lives of persons living in urban lower socioeconomic settings. [25][26][27][28][29][30] In summary, our data demonstrate that most children in a large urban area whose families choose to participate regularly in a structured disease management program can achieve control of asthma at a point in time. However, long-term maintenance of control is highly variable, and results displayed as averages are deceptive.…”