Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Assessing the quality of asthma care provided to Medicaid patients enrolled in managed care organizations in Connecticut
Autore:
Apter, AJ; Van Hoof, TJ; Sherwin, TE; Casey, BA; Petrillo, MK; Meehan, TP;
Indirizzi:
Univ Penn, Sch Med, Div Pulm Allergy & Crit Care Med, Sect Allergy & Immunol, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 & Immunol, Philadelphia, PA 19104 USA Qualidigm, Middletown, CT USA Qualidigm Middletown CT USAQualidigm, Middletown, CT USA Univ Connecticut, Sch Med, Dept Community Med, Farmington, CT USA Univ Connecticut Farmington CT USA ept Community Med, Farmington, CT USA Univ Connecticut, Sch Med, Dept Psychiat, Farmington, CT USA Univ Connecticut Farmington CT USA ed, Dept Psychiat, Farmington, CT USA Yale Univ, Sch Med, Dept Med, New Haven, CT 06510 USA Yale Univ New HavenCT USA 06510 h Med, Dept Med, New Haven, CT 06510 USA
Titolo Testata:
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY
fascicolo: 2, volume: 86, anno: 2001,
pagine: 211 - 218
SICI:
1081-1206(200102)86:2<211:ATQOAC>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHILDHOOD ASTHMA; INNER-CITY; CHILDREN; PREVALENCE; PROGRAM; RISK; HOSPITALIZATION; EXPOSURE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Apter, AJ Hosp Univ Penn, Div Pulm Allergy & Crit Care Med, 829 Gates Bbldg,3400 Spruce St, Philadelphia, PA 19104 USA Hosp Univ Penn 829 Gates Bbldg,3400 Spruce St Philadelphia PA USA 19104
Citazione:
A.J. Apter et al., "Assessing the quality of asthma care provided to Medicaid patients enrolled in managed care organizations in Connecticut", ANN ALLER A, 86(2), 2001, pp. 211-218

Abstract

Background: Many states have enrolled Medicaid beneficiaries in managed care organizations (MCOs). Few assessments of the quality of asthma care provided by these new programs are available. Objective: To describe the quality of care provided to asthmatic Medicaid children enrolled in MCOs. Methods: For this cross-sectional survey, a chart abstraction tool was developed to evaluate fulfillment of key performance measures chosen from a national guideline for asthma diagnosis and management. These measures were prescription of an inhaled anti-inflammatory medication, accomplishment of patient education, evaluation of exposure to environmental triggers of asthma, and administration of influenza vaccination. From State of Connecticut administrative databases, a random sampling of Medicaid children, ages 5 to 18 years, enrolled in four MCOs was selected. Chart entries from July 1, 1996 to June 30, 1997 were reviewed using the abstraction tool. Accomplishment of performance measures was evaluated for the total sample and for children who were high utilizers of medical services (at least one ED visit or hospitalization during the study period). Results: For 80 high utilizers among 315 children, completion of performance measures was suboptimal: 46% were prescribed inhaled steroids; an actionplan was outlined for 43%; evaluation of patient or family tobacco use wasdocumented for 56%; evaluation of the presence of a pet for 43% or mite exposure for 19%; and allergy skin testing or RAST was accomplished for 15%. Conclusions: This information suggests that opportunities exist to improvethe quality of care for these children.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/03/20 alle ore 22:31:16