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Patterns of childhood asthma management practices by physicians in the inner city
S100 Abstracts
SATURDAY 300
Patterns of Childhood Asthma Management Practices by Physicians in the Inner City
C. M. Patino, K. A. Riekert, A. Bilderback, J. A. Krishnan, G. B. Diette, C. S. Rand; Medicine, Johns Hopkins University, Baltimore, MD. RATIONALE: Understanding the underlying patterns, frequencies and determinants of national guideline recommended childhood asthma management practices (CHAMP) in the inner-city is important in tailoring interventions to increase the quality of asthma care. METHODS: Primary care providers identified by parents of children with doctor-diagnosed asthma were recruited as part of an asthma education intervention study. Physicians (n=117; pediatricians 87%, family doctors 13%) completed a survey which assessed the use of 16 specific CHAMP during routine asthma care visits. Principal Component Analysis with Varimax rotation was used to identify CHAMP factors (patterns of correlated CHAMP’s). RESULTS: Principal Component Analysis yielded 4 CHAMP factors which were labeled as: patient tailored education (4 variables α=.75), asthma medication assessment (4 variables, α=.60), pulmonary function monitoring (2 variables, α=.71), and assessment of patient/family issues about asthma (3 variables, α=.48). These 4 factors accounted for 61% of CHAMP’s variability. Frequency analysis showed that physicians were most likely to engage in asthma medication assessment followed by assessment of patient/family issues about asthma and pulmonary function monitoring, and least likely to provide patient tailored education. Physician’s age, gender, race/ethnicity were not significantly associated with CHAMP factors. CONCLUSIONS: Primary care physicians caring for inner-city children with asthma discuss asthma management practices in characteristic patterns. While discussion of asthma medication is frequent, there may be a need to further emphasize education tailored to the patient. Funding: NIH-NHLBI HL72455-02
J ALLERGY CLIN IMMUNOL FEBRUARY 2004
SATURDAY 300
Patterns of Childhood Asthma Management Practices by Physicians in the Inner City
C. M. Patino, K. A. Riekert, A. Bilderback, J. A. Krishnan, G. B. Diette, C. S. Rand; Medicine, Johns Hopkins University, Baltimore, MD. RATIONALE: Understanding the underlying patterns, frequencies and determinants of national guideline recommended childhood asthma management practices (CHAMP) in the inner-city is important in tailoring interventions to increase the quality of asthma care. METHODS: Primary care providers identified by parents of children with doctor-diagnosed asthma were recruited as part of an asthma education intervention study. Physicians (n=117; pediatricians 87%, family doctors 13%) completed a survey which assessed the use of 16 specific CHAMP during routine asthma care visits. Principal Component Analysis with Varimax rotation was used to identify CHAMP factors (patterns of correlated CHAMP’s). RESULTS: Principal Component Analysis yielded 4 CHAMP factors which were labeled as: patient tailored education (4 variables α=.75), asthma medication assessment (4 variables, α=.60), pulmonary function monitoring (2 variables, α=.71), and assessment of patient/family issues about asthma (3 variables, α=.48). These 4 factors accounted for 61% of CHAMP’s variability. Frequency analysis showed that physicians were most likely to engage in asthma medication assessment followed by assessment of patient/family issues about asthma and pulmonary function monitoring, and least likely to provide patient tailored education. Physician’s age, gender, race/ethnicity were not significantly associated with CHAMP factors. CONCLUSIONS: Primary care physicians caring for inner-city children with asthma discuss asthma management practices in characteristic patterns. While discussion of asthma medication is frequent, there may be a need to further emphasize education tailored to the patient. Funding: NIH-NHLBI HL72455-02
J ALLERGY CLIN IMMUNOL FEBRUARY 2004