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Improvements in Health Care Use Associated With Community Coalitions: Long-Term Results of the Allies Against Asthma Initiative.
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- Author(s): Clark, Noreen M.1 (AUTHOR) ; Lachance, Laurie L.1 (AUTHOR); Doctor, Linda Jo2 (AUTHOR); Gilmore, Lisa3 (AUTHOR); Kelly, Cynthia S.4 (AUTHOR); Krieger, James5 (AUTHOR); Lara, Marielena6 (AUTHOR); Meurer, John7 (AUTHOR); Milanovich, Amy Friedman1 (AUTHOR); Nicholas, Elisa8 (AUTHOR); Song, Peter X. K.9 (AUTHOR); Rosenthal, Michael10 (AUTHOR); Stoll, Shelley C.1 (AUTHOR); Wilkin, Margaret1 (AUTHOR)
- Source:
American Journal of Public Health. Jun2013, Vol. 103 Issue 6, p1124-1127. 4p. 2 Charts.- Subject Terms:
*INFORMATION services; *RESEARCH; *COMMUNITY health services; *QUALITY assurance; *RESEARCH funding; *DATA analysis; *SOCIOECONOMIC factors; ASTHMA prevention; HOSPITAL care of children; COMPARATIVE studies; CONFIDENCE intervals; EPIDEMIOLOGY; HOSPITAL emergency services; LONGITUDINAL method; MEDICAL cooperation; HEALTH policy; LOGISTIC regression analysis; CONTROL groups; PROPORTIONAL hazards models; CHILDREN - Source:
- Additional Information
- Subject Terms:
- Subject Terms:
- Abstract: Objectives. We assessed changes in asthma-related health care use by low-income children in communities across the country where 6 Allies Against Asthma coalitions (Hampton Roads, VA; Washington, DC; Milwaukee, WI; King County/Seattle, WA; Long Beach, CA; and Philadelphia, PA) mobilized stakeholders to bring about policy changes conducive to asthma control. Methods. Allies intervention zip codes were matched with comparison communities by median household income, asthma prevalence, total population size, and race/ethnicity. Five years of data provided by the Center for Medicare and Medicaid Services on hospitalizations, emergency department (ED) use, and physician urgent care visits for children were analyzed. Intervention and comparison sites were compared with a stratified recurrent event analysis using a Cox proportional hazard model. Results. In most of the assessment years, children in Allies communities were significantly less likely (P < .04) to have an asthma-related hospitalization, ED visit, or urgent care visit than children in comparison communities. During the entire period, children in Allies communities were significantly less likely (P < .02) to have such health care use. Conclusions. Mobilizing a diverse group of stakeholders, and focusing on policy and system changes generated significant reductions in health care use for asthma in vulnerable communities. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. 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.)
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