To improve follow-up with primary care providers after acute Emergency Depart ment (ED) asthma visits for children from low-income urban families. A prospect ive, randomized, controlled trial evaluated combined teleph...To improve follow-up with primary care providers after acute Emergency Depart ment (ED) asthma visits for children from low-income urban families. A prospect ive, randomized, controlled trial evaluated combined telephone asthma coaching a nd monetary incentive. The primary outcome was asthmaplanning visits with primar y care providers within 15 days of index ED visits. The subjects were urban pare nts whose children were treated for asthma in the ED and had Medicaid or no insu rance. We enrolled 527 parents (264 control and 263 intervention). There was a significant differ ence (P < .0001)-between the intervention (35.7%) and control (18.9%) grou ps in the proportion of children who had asthma-planning visits and decreased m ean nights/days with asthma symptoms by 4.36 intervention and 3.31 control at 2 weeks. The proportions of children with asthma-planning visits and acute asth ma care visits during the 16-day to 6-month period were similar for both group s. Telephone coaching and a monetary incentive significantly increased the propo rtion of low-income urban parents who brought their children for asthma-planni ng visits, and decreased asthma symptoms shortly after asthma ED visits. The int ervention did not increase subsequent asthma-planning visits or decrease ED vis its or hospitalizations.展开更多
文摘To improve follow-up with primary care providers after acute Emergency Depart ment (ED) asthma visits for children from low-income urban families. A prospect ive, randomized, controlled trial evaluated combined telephone asthma coaching a nd monetary incentive. The primary outcome was asthmaplanning visits with primar y care providers within 15 days of index ED visits. The subjects were urban pare nts whose children were treated for asthma in the ED and had Medicaid or no insu rance. We enrolled 527 parents (264 control and 263 intervention). There was a significant differ ence (P < .0001)-between the intervention (35.7%) and control (18.9%) grou ps in the proportion of children who had asthma-planning visits and decreased m ean nights/days with asthma symptoms by 4.36 intervention and 3.31 control at 2 weeks. The proportions of children with asthma-planning visits and acute asth ma care visits during the 16-day to 6-month period were similar for both group s. Telephone coaching and a monetary incentive significantly increased the propo rtion of low-income urban parents who brought their children for asthma-planni ng visits, and decreased asthma symptoms shortly after asthma ED visits. The int ervention did not increase subsequent asthma-planning visits or decrease ED vis its or hospitalizations.
