Pursuing Perfection: An Asthma Quality Improvement Initiative in School-Based Health Centers with Community Partners
Pursuing Perfection: An Asthma Quality Improvement Initiative in School-Based Health Centers with Community Partners
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DOI：
10.1177/003335490812300608
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发表时间：
2008-11-01
影响因子：
3.3
通讯作者：
Atherton, Harry D.
中科院分区：
文献类型：
--
作者：
Mansour, Mona E.;Rose, Barbara;Atherton, Harry D.
本文介绍了一种创新的哮喘质量改善倡议，在学校为基础的健康中心（SBHC）与多个社区合作伙伴，包括儿童医院，联邦合格的健康中心，卫生部门，公立学校，哮喘儿童的家长之间的合作。其目的是改善这些学校中哮喘儿童的健康状况，通过最低限度的哮喘相关活动限制和减少哮喘相关急诊（艾德）就诊来衡量。追踪的过程测量包括（1）哮喘严重程度分类，（2）持续性哮喘与控制药物处方，（3）书面护理计划的儿童百分比。数据支持SBHC儿童报告哮喘导致活动受限的百分比呈统计学显著下降趋势。此外，趋势分析表明，SBHC组与非SBHC组相比，哮喘艾德访视存在统计学显著差异。所有工艺措施均得到证明。促成成功的因素包括强调社区参与、分享想法和成果的透明度、利益超过参与的人力资源成本、推动改进的现成数据以及使用多种干预战略。
This article describes an innovative asthma quality improvement initiative conducted in school-based health centers (SBHCs) with collaboration among multiple community partners including the children's hospital, a federally qualified health center, the health department, the public school, and parents of children with asthma. The aim was to improve the health of children with asthma in these schools, as measured by minimal asthma-related activity restriction and reduction in asthma-related emergency department (ED) visits. Process measures tracked included the percent of children with (1) asthma severity classified, (2) persistent asthma with controller medication prescribed, and (3) written care plans.Data supported a statistically significant decreasing trend for the percent of SBHC children reporting activity restriction due to asthma. In addition, trend analysis demonstrated a statistically significant difference in ED visits for asthma in the SBHC group compared with a non-SBHC group. Improvements were demonstrated for all process measures. Factors contributing to success included emphasis on community engagement, transparency in sharing ideas and results, benefits outweighing human resource costs of participating, readily available data to drive improvement, and the use of multiple intervention strategies.