Do school-based health centers provide adequate asthma care?
Tosan Oruwariye, Mayris P. Webber, Phillip Ozuah
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.
Journal of School Health
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adequate care Social Sciences 100%
Asthma Arts & Humanities 98%
Health Centers Arts & Humanities 86%
Charts Arts & Humanities 29%
Adherence Arts & Humanities 26%
National Heart, Lung, and Blood Institute (U.S.) Medicine & Life Sciences 16%
Oruwariye, T., Webber, M. P., & Ozuah, P. (2003). Do school-based health centers provide adequate asthma care? Journal of School Health, 73(5), 186-190. https://doi.org/10.1111/j.1746-1561.2003.tb03601.x
Do school-based health centers provide adequate asthma care? / Oruwariye, Tosan; Webber, Mayris P.; Ozuah, Phillip.
In: Journal of School Health, Vol. 73, No. 5, 05.2003, p. 186-190.
Oruwariye, T, Webber, MP & Ozuah, P 2003, 'Do school-based health centers provide adequate asthma care?', Journal of School Health, vol. 73, no. 5, pp. 186-190. https://doi.org/10.1111/j.1746-1561.2003.tb03601.x
Oruwariye T, Webber MP, Ozuah P. Do school-based health centers provide adequate asthma care? Journal of School Health. 2003 May;73(5):186-190. doi: 10.1111/j.1746-1561.2003.tb03601.x
Oruwariye, Tosan ; Webber, Mayris P. ; Ozuah, Phillip. / Do school-based health centers provide adequate asthma care?. In: Journal of School Health. 2003 ; Vol. 73, No. 5. pp. 186-190.
@article{2991808216944556a4f5f6d53675cf4d,
title = "Do school-based health centers provide adequate asthma care?",
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.",
author = "Tosan Oruwariye and Webber, {Mayris P.} and Phillip Ozuah",
doi = "10.1111/j.1746-1561.2003.tb03601.x",
journal = "Journal of School Health",
T1 - Do school-based health centers provide adequate asthma care?
AU - Oruwariye, Tosan
AU - Webber, Mayris P.
AU - Ozuah, Phillip
N2 - 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.
AB - 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.
U2 - 10.1111/j.1746-1561.2003.tb03601.x
DO - 10.1111/j.1746-1561.2003.tb03601.x
JO - Journal of School Health
JF - Journal of School Health