TY - JOUR
T1 - Home visits for pediatric asthma - A strategy for comprehensive asthma management through prevention and reduction of environmental asthma triggers in the home
AU - Anderson, Mark E.
AU - Zajac, Lauren
AU - Thanik, Erin
AU - Galvez, Maida
N1 - Funding Information:
Despite the demonstrated benefits of asthma home visit programs, there is still no systematic and sustainable funding mechanism in place for asthma preventive services. While there is not a one-size-fits-all approach to sustainable asthma funding, numerous efforts are underway across the United States to achieve sustainable sources of funding. 28 Communities across the country have found select funding opportunities through grants (e.g., the Centers for Disease Control and Prevention's National Asthma Control Program grants), state or local government funding, and insurance reimbursement [e.g., pilot programs, delivery system reform incentive payment (DSRIP) under the Affordable Care Act]. For example, the Denver Program was supported by a grant funded by a 2004 voter-approved state tax increase on cigarettes and other tobacco products; the grant program allocates revenue to programs that focus on tobacco cessation, provision of healthcare services for tobacco-related diseases, or health disparities. 29 Several programs now rely on insurance reimbursement of asthma home visits, 30 and it is encouraging that public and private insurance payors are beginning to invest in actions that address the social determinants of health inequities. 31
Funding Information:
The author MA is the principal investigator for the Region 8 Pediatric Environmental Health Specialty Unit (PEHSU), “The Rocky Mountain Region Pediatric Environmental Health Specialty Unit” and authors LZ, MG are from the Region 2 PEHSU. As PEHSU faculty, these authors are partly supported by the American Academy of Pediatrics (AAP) and funded (in part) by the cooperative agreement award number 1 NU61TS000296-01-00 from the Agency for Toxic Substances and Disease Registry (ATSDR). The U.S. Environmental Protection Agency (EPA) supports the PEHSU by providing partial funding to ATSDR under Inter-Agency Agreement number DW-75-95,877,701. This publication was also supported (in part) by the New York State Department of Health grant supporting the NYS Children's Environmental Health Centers (Grant # DOH01-CEHCE1-2017), Transdisciplinary Center on Early Environmental Exposures (tceee.icahn.mssm.edu, NIEHS Grant # P30ES023515), and a grant from the National Center for Advancing Translational Sciences of the National Institutes of Health (Grant # UL1TR001433).
Funding Information:
Denver Health Asthma Home Visit Program's personnel and activities were supported by the State of Colorado's Cancer, Cardiovascular, and Pulmonary Disease (CCPD) program supported by the voter-approved amendment 35, a tax on tobacco purchases; “Team-based Care in a Safety-Net Population” (PI: Ray Estacio MD).
Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/2
Y1 - 2020/2
N2 - Families often struggle to manage their child's asthma. Clinicians caring for children with asthma struggle too as they are tasked with balancing the limited time available in clinic and the need to provide comprehensive care. As a direct consequence, critical gaps in asthma care remain with respect to asthma education and the identification and reduction of environmental asthma triggers in the home. A home visit model that augments clinic-based care is a viable way to fill gaps in understanding, address incomplete adherence patterns, improve disease control by shifting the focus of asthma management to reduction of environmental asthma triggers, and bring cost savings to the health care system.
AB - Families often struggle to manage their child's asthma. Clinicians caring for children with asthma struggle too as they are tasked with balancing the limited time available in clinic and the need to provide comprehensive care. As a direct consequence, critical gaps in asthma care remain with respect to asthma education and the identification and reduction of environmental asthma triggers in the home. A home visit model that augments clinic-based care is a viable way to fill gaps in understanding, address incomplete adherence patterns, improve disease control by shifting the focus of asthma management to reduction of environmental asthma triggers, and bring cost savings to the health care system.
UR - http://www.scopus.com/inward/record.url?scp=85081289789&partnerID=8YFLogxK
U2 - 10.1016/j.cppeds.2020.100753
DO - 10.1016/j.cppeds.2020.100753
M3 - Article
C2 - 32144077
AN - SCOPUS:85081289789
SN - 1538-5442
VL - 50
JO - Current Problems in Pediatric and Adolescent Health Care
JF - Current Problems in Pediatric and Adolescent Health Care
IS - 2
M1 - 100753
ER -