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J Asthma. 1998;35(1):119-27.

The Asthma Outreach Project: a promising approach to comprehensive asthma management.

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Children's Hospital and Medical Center, University of Washington, Seattle, USA.


We describe a pilot system of coordinated asthma care emphasizing home visits by a community-based lay worker collaborating with a pediatrician, pharmacist, and public health nurse. Study participants included 23 low-income children with moderate to severe asthma and their families at an inner-city pediatric clinic. This system was successfully implemented, and client satisfaction was extremely high. Utilization review showed a reduction in hospitalizations, emergency department visits, and unscheduled clinic visits, and an increase in follow-up clinic visits. This model of care may reduce unscheduled service use and deserves further study as an alternative for asthma management among similar patient populations.

[Indexed for MEDLINE]

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