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Do school-based health centers provide adequate asthma care?

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Title: Do school-based health centers provide adequate asthma care?
Authors: Oruwariye T (AUTHOR), Webber MP (AUTHOR), Ozuah P (AUTHOR)
Source: Journal of School Health. May2003, Vol. 73 Issue 5, p186-190. 5p.
Subjects: School health services, Asthma, Asthmatics, Associations, institutions, etc., Medical care, Standards
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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of School Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Do school-based health centers provide adequate asthma care?
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+School+Health%22&quot;&gt;Journal of School Health&lt;/searchLink&gt;. May2003, Vol. 73 Issue 5, p186-190. 5p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22School+health+services%22&quot;&gt;School health services&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Asthma%22&quot;&gt;Asthma&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Asthmatics%22&quot;&gt;Asthmatics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Associations%2C+institutions%2C+etc%2E%22&quot;&gt;Associations, institutions, etc.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+care%22&quot;&gt;Medical care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Standards%22&quot;&gt;Standards&lt;/searchLink&gt;
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  Data: 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 (&gt; 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 (&lt; 8 years) were more likely to miss more days of school (all p &lt; .05). Overall, provider adherence to NHLBI guidelines was inadequate, with adherence somewhat better for older children. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of School Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1111/j.1746-1561.2003.tb03601.x
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 5
        StartPage: 186
    Subjects:
      – SubjectFull: School health services
        Type: general
      – SubjectFull: Asthma
        Type: general
      – SubjectFull: Asthmatics
        Type: general
      – SubjectFull: Associations, institutions, etc.
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Standards
        Type: general
    Titles:
      – TitleFull: Do school-based health centers provide adequate asthma care?
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          Name:
            NameFull: Oruwariye T
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            NameFull: Webber MP
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            NameFull: Ozuah P
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            – D: 01
              M: 05
              Text: May2003
              Type: published
              Y: 2003
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              Value: 73
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            – TitleFull: Journal of School Health
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