BACKGROUND: Bettering Asthma Care in Kids - Geographic Social Determinants Data to Understand Disparities

背景：改善儿童哮喘护理 - 地理社会决定因素数据以了解差异

• 批准号: 10199747
• 负责人: John Heintzman
• 金额: $ 46.97万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-26 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10199747
• 关键词: Address; Adolescence; Affect; Air Pollution; Ambulatory Care; Asthma; Caring; Child; Child health care; Childhood Asthma; Clinic; Clinical; Clinical Data; Code; Communities; Community Health Education; Community Health Networks; Cross-Sectional Studies; Data; Data Linkages; Data Set; Data Sources; Databases; Demographic Factors; Diagnosis; Disease; Economic Factors; Economics; Electronic Health Record; Environmental Risk Factor; Geography; Health Personnel; Health Services; Health Services Accessibility; Healthcare; Hispanics; Housing; Income; Individual; Insurance Coverage; Knowledge; Language; Latino; Link; Literature; Low income; Measures; Medical; Methodology; Methods; Mexican; Migrant; Morbidity - disease rate; Nature; Neighborhood Health Center; Not Hispanic or Latino; Obesity; Outcome; Patients; Pharmaceutical Preparations; Policies; Policy Maker; Prevalence; Preventive service; Provider; Puerto Rican; Quality of Care; Research; Research Personnel; Severity of illness; Structure; Subgroup; Surveys; Symptoms; System; Time; Vulnerable Populations; asthmatic; barrier to care; base; built environment; care outcomes; data resource; ethnic disparity; evidence base; health care disparity; health care service; health care service utilization; health data; healthcare community; improved; innovation; longitudinal dataset; mortality; novel; patient subsets; patient-level barriers; point of care; poor communities; preference; programs; response; risk stratification; segregation; social determinants; social factors; social health determinants

Project Summary/Abstract Latino children with asthma have worse outcomes from their asthma than non-Hispanic white children. In the medical literature, the degree to which these outcomes are the result of limited access, underutilization, poor quality of care, or social & environmental factors is unclear. A fuller understanding of asthma outcomes in Latino children is hampered by scientific evidence that has relied upon cross-sectional studies with a limited time capture, or subjective surveys vulnerable to response biases. Additionally, some evidence in the health services literature suggests that social determinants of health (individual- and community-level economic, social, and environmental factors), including Hispanic subgroup (Mexican ancestry, Puerto Rican ancestry, etc) affect asthma care and outcomes. It is uncertain, however, which social determinants are most strongly associated with Latino children's asthma care. The proposed project intends to fill these gaps in knowledge regarding the nature of asthma care disparities in Latino children and the relative contribution of social determinants of health to these disparities, by utilizing an objective, longitudinal, and robust linkage of data sources encompassing thousands of vulnerable children across multiple states. We will leverage a unique data resource from a large, national network of community health centers with shared electronic health record data that is linked to community-level social determinants of health data. This large, longitudinal dataset contains unprecedented data linkages which will let us assess disparities in asthma care, evaluate which social determinants affect utilization and disparities, and determine which of these may do so most significantly over time. We will also specifically develop methods to use community Hispanic subgroup information to estimate the individual subgroups of patient seen in our clinics (which is information not usually present in electronic health records), and how preventive service use differs among these groups Understanding the relative impact of social determinants of health on asthma care in Latino children will: 1. Enable more informed policy decisions to improve the care of this vulnerable population, 2. facilitate strategic partnerships between healthcare providers and community agencies poised to intervene in social factors in the lives of Latino children, and 3. help clinical providers understand their patients' barriers to care utilization, and further point-of-care efforts to address the barriers that influence children's utilization of recommended health care services for their asthma.

项目总结/文摘

项目成果

Asthma Ambulatory Care Quality in Foreign-Born Latino Children in the United States.

美国外国出生的拉丁裔儿童的哮喘门诊护理质量。

• DOI: 10.1016/j.acap.2021.10.003
• 发表时间: 2022
• 期刊: Academic pediatrics
• 影响因子: 3.1
• 作者: Heintzman,John;Kaufmann,Jorge;Bailey,Steffani;Lucas,Jennifer;Suglia,ShakiraF;Puro,Jon;Giebultowicz,Sophia;Ezekiel-Herrera,David;Marino,Miguel
• 通讯作者: Marino,Miguel

The Association of Mobility, Social Deprivation, and Pediatric Primary Care Outcomes in Community Health Centers.

社区卫生中心流动性、社会剥夺和儿科初级保健成果协会。

• DOI: 10.1016/j.jpeds.2023.113465
• 发表时间: 2023
• 期刊: The Journal of pediatrics
• 作者: Lucas,JenniferA;Hsu,Audree;Heintzman,John;Bailey,SteffaniR;Suglia,ShakiraF;Bazemore,Andrew;Giebultowicz,Sophia;Marino,Miguel
• 通讯作者: Marino,Miguel

Healthcare utilization for asthma exacerbation among children of migrant and seasonal farmworkers.

• DOI: 10.1016/j.pmedr.2024.102598
• 发表时间: 2024-02
• 期刊: PREVENTIVE MEDICINE REPORTS
• 影响因子: 2.8
• 作者: Kasten-Arias, Cassandra;Hodes, Tahlia;Marino, Miguel;Kaufmann, Jorge;Lucas, Jennifer A.;Guzman, Cirila Estela Vasquez;Giebultowicz, Sophia;Chan, Brian;Heintzman, John
• 通讯作者: Heintzman, John

Mobility and social deprivation on primary care utilisation among paediatric patients with asthma.

• DOI: 10.1136/fmch-2021-001085
• 发表时间: 2021-07
• 期刊: Family medicine and community health
• 影响因子: 6.1
• 作者: Lucas JA;Marino M;Giebultowicz S;Fankhauser K;Suglia SF;Bailey SR;Bazemore A;Heintzman J
• 通讯作者: Heintzman J

Asthma/COPD Disparities in Diagnosis and Basic Care Utilization Among Low-Income Primary Care Patients.

• DOI: 10.1007/s10903-018-0798-2
• 发表时间: 2019-06
• 期刊: Journal of immigrant and minority health
• 影响因子: 1.9
• 作者: Heintzman J;Kaufmann J;Ezekiel-Herrera D;Bailey SR;Cornell A;Ukhanova M;Marino M
• 通讯作者: Marino M