Do school-based health centers provide adequate asthma care?

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

School-based health centers (SBHCs) are increasingly charged with providing primary care services including asthma care. This study assessed SBHC provider adherence to the National Heart, Lung, and Blood Institute (NHLBI) asthma care guidelines and the association among provider adherence, patient characteristics, and asthma outcomes. A cross-sectional study design was used to assess SBHC chart data from 415 children with asthma attending four inner-city elementary schools (K-5) in the Bronx, NY. Asthma symptoms, peak flow use, follow-up visits, and referrals to asthma specialists were documented in the charts of 60%, 51%, 22%, and 3% of subjects, respectively. Thirty-three percent of charts had SBHC clinician-documented severity classifications, of which 70% had appropriate medications prescribed. Asthma education and an asthma plan were documented in 18% and 10% of charts, respectively. Environmental triggers and tobacco exposures were documented in 71% and 49% of charts, respectively. Older children (> 8 years) were more likely to have documentation of peak flow use for asthma management, asthma education, follow-up visits, and written asthma plans, whereas younger children (< 8 years) were more likely to miss more days of school (all p < .05). Overall, provider adherence to NHLBI guidelines was inadequate, with adherence somewhat better for older children.

Original languageEnglish (US)
Pages (from-to)186-190
Number of pages5
JournalJournal of School Health
Volume73
Issue number5
StatePublished - May 2003

Fingerprint

School Health Services
Asthma
health
school
National Heart, Lung, and Blood Institute (U.S.)
cross-sectional study
nicotine
documentation
elementary school
education
medication
Health Centers
Guidelines
Education
management
Patient Compliance
Documentation
Tobacco
Primary Health Care
Referral and Consultation

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Do school-based health centers provide adequate asthma care? / Oruwariye, Tosan; Webber, Mayris P.; Ozuah, Philip O.

In: Journal of School Health, Vol. 73, No. 5, 05.2003, p. 186-190.

Research output: Contribution to journalArticle

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