Authors: Valerie G Press Andrea A Pappalardo Walter D Conwell Amber T Pincavage Meryl H Prochaska Vineet M Arora
Publish Date: 2012/07/14
Volume: 27, Issue: 8, Pages: 1001-1015
Abstract
Twentyfour articles met inclusion criteria Mean quality score was 210 Study populations targeted primarily African American n = 14 followed by Latino/a n = 4 Asian Americans n = 1 or a combination of the above n = 5 The most commonly reported postintervention outcome was use of health care resources followed by symptom control and selfmanagement skills The most common interventiontype studied was patient education Although lessthan half were culturally tailored languageappropriate education appeared particularly successful Several system–level interventions focused on specialty clinics with promising findings although health disparities collaboratives did not have similarly promising resultsOverall education delivered by health care professionals appeared effective in improving outcomes for minority patients with asthma Few were culturally tailored and one included a comparison group limiting the conclusions that can be drawn from cultural tailoring Systemredesign showed great promise particularly the use of teambased specialty clinics and longterm followup after acute care visits Future research should evaluate the role of tailoring educational strategies focus on patientcentered education and incorporate outpatient followup and/or a teambased approachDespite increasing national efforts over several decades health disparities are widening for numerous illnesses and chronic diseases The Healthy People initiative began in 1979 with the Surgeon General’s Report followed by Healthy People 2000 and 2010 with Healthy People 2020 currently under development1 Although the goal of Healthy People 2010 was to challenge “individuals communities and professionals…to take specific steps to ensure that good health as well as long life are enjoyed by all”1 this need has not been met for minority patients with asthma in the United States US
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