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| Ranking |
Evidence-Based Practice |
| Description |
The Yes We Can Urban Asthma Partnership is a medical/social care model for clinic-based, community focused, team-oriented pediatric asthma management to address disparities in pediatric asthma care. In addition to clinical care, Yes We Can uses community health workers to provide culturally sensitive health education and social support to patients and families. Children who visit the hospital for acute asthma are recruited into the program, or children with unstable asthma can be referred to the program by community providers, public health nurses, and schools. The program includes three components: 1) medical evaluations conducted by clinic physicians and nurse practitioners, 2) social interventions to create an asthma action plan, discuss environmental triggers, housing assessment, conducted by community health workers at the clinic or during home visits, and 3) integrated efforts by clinicians and community health workers to educate patients, do community outreach, and provide social support. Participants receive three to five clinic visits and two to three home visits, and patient information is entered into an asthma database. |
| Goal / Mission |
The goal of the Yes We Can Urban Asthma Partnership is to improve asthma control among low-income children with asthma. |
| Results / Accomplishments |
In a pre- and post-intervention study, prescription of controller medications significantly increased (p < 0.01) and significantly more patients had an asthma action plan (p < 0.001). Patients reported a significant increase in the use of mattress and pillow covers in the home (p < 0.001) and exposure to pets and smoke in the home trended toward improvement. Days with asthma symptoms decreased significantly (5.1 to 2.8) as did the number of nights with symptoms (5.0 to 2.7). Patients also showed significant improvement in activity impairment (p < 0.01 for all measures). |
| Categories |
Health / Children's Health
Health / Respiratory Diseases
Health / Environmental & Occupational Health
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| Organization(s) |
San Francisco General Hospital Department of Pediatrics |
| Source |
Journal of Asthma |
| Date of Publication |
2006 |
| Date of Implementation |
1997 |
| Geographic Type |
Urban |
| Location |
City: San Francisco, CA |
| Primary Contact |
Shannon M. Thyne, Department of Pediatrics
San Francisco General Hospital
1001 Potrero Avenue, MS6E
San Francisco, CA 94110
(415) 206-4460
sthyne@sfghpeds.ucsf.edu
http://sfghdean.ucsf.edu/pediatrics/
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| For more details |
http://www.communityhealthworks.org/images/Jour...
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| Target Audience |
Children |
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