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Overcoming 'I'm in Control Syndrome' and Providing Help When Patients Least Expect It Can Benefit Children and Teens With Asthma
Date:4/30/2008

creative approach referred to as "unplanned planned asthma visits" resulted in young patients having fewer emergency room and hospital visits. The approach involves physicians discussing asthma with patients every time they come for an office visit, even if those visits are scheduled for totally unrelated reasons.

"Having regular, planned physician appointments to manage a child's asthma is an integral part of the chronic care model," said Greg Szumlas, M.D., a physician in the Division of General Pediatrics at Cincinnati Children's and study co-author. "Unfortunately, many patients don't always keep these appointments, so the planned opportunity for education of patient and parent is lost. We also know patients see their physicians for other acute problems, so we developed a system to capture these opportunities and turn them into what we call the 'unplanned planned' asthma visits."

During these visit, patients undergo asthma control screening, condition assessment and receive education on asthma self-management. The visit is turned into an opportunity to assess and manage the patient's asthma. Correct medications and effective self management result in an overall improvement in asthma quality measures and patient outcomes. In a study group of 230 asthma patients followed during the program, the researchers noted a 30-percent increase in patients with established asthma treatment action plans. The program also led to a 50-percent reduction in asthma hospitalizations and a 47-percent decrease in asthma related emergency room visits over a one-year period.

Cincinnati Children's Hospital Medical Center, one of the leading pediatric research institutions in the nation, is dedicated to changing the outcome for children throughout the world. Cincinnati Children's ranks second among all pediatric institutions in the United States in grants from the National Institutes of Health. It has an established tradition of research excellence, with discoveries
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SOURCE Cincinnati Children's Hospital Medical Center
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