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Asthma care quality for children with minority-serving providers.
- Source :
-
Archives of pediatrics & adolescent medicine [Arch Pediatr Adolesc Med] 2010 Jan; Vol. 164 (1), pp. 38-45. - Publication Year :
- 2010
-
Abstract
- Objective: To compare asthma care quality for children with and without minority-serving providers.<br />Design: Cross-sectional telephone survey of parents, linked with a mailed survey of their children's providers.<br />Setting: A Medicaid-predominant health plan and multispecialty provider group in Massachusetts.<br />Participants: A total of 563 children with persistent asthma, identified by claims and encounter data. Main Exposure Whether the child's provider was minority serving (>25% of patients black or Latino). Outcomes Parent report of whether the child had (1) ever received inhaled steroids, (2) received influenza vaccination during the past season, and (3) received an asthma action plan in the past year.<br />Results: In unadjusted analyses, Latino children and those with minority-serving providers were more likely to have never received inhaled steroids. In adjusted models, the odds of never receiving inhaled steroids were not statistically significantly different for children with minority-serving providers (odds ratio [OR], 1.29; 95% confidence interval [CI], 0.63-2.64), or for Latino vs white children (OR, 1.76; 95% CI, 0.74-4.18); odds were increased for children receiving care in community health centers (OR, 4.88; 95% CI, 1.70-14.02) or hospital clinics (OR, 4.53; 95% CI, 1.09-18.92) vs multispecialty practices. Such differences were not seen for influenza vaccinations or action plans.<br />Conclusions: Children with persistent asthma are less likely to receive inhaled steroids if they receive care in community health centers or hospital clinics. Practice setting mediated initially observed disparities in inhaled steroid use by Latino children and those with minority-serving providers. No differences by race/ethnicity or minority-serving provider were observed for influenza vaccinations or asthma action plans.
- Subjects :
- Child
Child, Preschool
Community Health Centers standards
Cross-Sectional Studies
Female
Humans
Male
Massachusetts
Outpatient Clinics, Hospital standards
Practice Patterns, Physicians' statistics & numerical data
Quality of Health Care
Black or African American statistics & numerical data
Asthma therapy
Hispanic or Latino statistics & numerical data
Practice Patterns, Physicians' standards
Subjects
Details
- Language :
- English
- ISSN :
- 1538-3628
- Volume :
- 164
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Archives of pediatrics & adolescent medicine
- Publication Type :
- Academic Journal
- Accession number :
- 20048240
- Full Text :
- https://doi.org/10.1001/archpediatrics.2009.243