Providers Underestimate Symptom Severity Among Urban Children With Asthma

摘要: Background Guidelines recommend that children with mild persistent to severe asthma receive maintenance anti-inflammatory medications. However, providers may not be aware of the severity their patients' symptoms. The underestimation contribute poor adherence care guidelines. Objectives To describe use preventive medications among a group urban and evaluate degree which health are severity. Design Children (ages 4-6 years) from schools in Rochester, NY, were eligible if parents reported Each child's provider was asked assess based both on knowledge child review medical record. Parent assessments compared. Bivariate regression analyses used identify factors associated concordant classifications Results Ninety parent-defined participated (64% boys, 67% black, 73% receiving Medicaid). Only 40% described accurately by as having asthma, only 50% total had been prescribed Thirty-six percent families daily. In contrast, most who classified medication (83%), 58% them Sociodemographic characteristics accuracy. Conclusions Most this study When patient's symptoms, Attempts improve guidelines should take into consideration underestimations