Question

Implementing Policy Changes to Decrease Racial and Ethnic Disparities in Pediatric Asthma Outcomes.

please help

Answer 1

-- ASTHMA  Is a chronic lung disease that affect the people of all age but mostly begins in childhood.It makes serious limitations on the normal activities of childrens.

-- Disparities in asthma outcomes have been documented since the 1980s.Children of racial or ethnic minorities face higher morbidity and mortality due to asthma when compared with white children.Non Hispanic African American children have 2 to 3 times higher rates of hospitalization and emergency departments visits compared with non hispanic white children.

-- Many individual and system level factors contributed to asthma disparities,including healthcare policies,health system operations and clinician,patient,family and environmental factors.For example,minority children are less likely to be prescribed a controller medication when indicated and are less likely to adhere to therapy that is prescribed.

-- Additional factors driving disparities include clinic center care,indoor allergen exposure,limited primary care and subspeciality access and poor health literacy.

-- previous programs have provided written action plans for daily management,supplies for home environment remediation and education to children with asthma and their families.

-- Other initiatives have used case managers or asthma educators ,or alternatively partnered with school and housing authorities.Some efforts have shown positive results on a local level or in the short term;however no single program has demonstrated widespread and sustainable reductions in our nations astma disparities.

-- Solutions must comprehensively adress the medical ,environmental and social drivers of disparities,which is nearly impossible when interventions are limited to the clinic and home alone .In addition ,one -size -first -all approach to intervention is unlikely to be generalizable.Programs must be tailored to the unique characteristics of diverse population and local environment.

-- Lastly,few asthma interventions,other than educational curricula,have been broadly disseminated.Interventions may be resourse intensive,potentially prohibiting expansion.

MANAGING ASTHMA:

1) Identity and minimize contact with asthma triggers.

2) Understand and take medication as prescribed.

3) Monitor asthma to recognize signs when it is getting worse .

4) Know what to do when the asthma get worse.

5) Work with a health care professional to determine the best way to take care of your child's asthma.

6) The more information a person with asthma has ,the better asthma can be controlled.