Yes We Can Urban Asthma Partnership
An Evidence-Based Practice
This practice has been Archived and is no longer maintained.
Description
The Yes We Can Urban Asthma Partnership is a medical/social care model for clinic-based, community focused, team-oriented pediatric asthma management to address disparities in pediatric asthma care. In addition to clinical care, Yes We Can uses community health workers to provide culturally sensitive health education and social support to patients and families. Children who visit the hospital for acute asthma are recruited into the program, or children with unstable asthma can be referred to the program by community providers, public health nurses, and schools. The program includes three components: 1) medical evaluations conducted by clinic physicians and nurse practitioners, 2) social interventions to create an asthma action plan, discuss environmental triggers, housing assessment, conducted by community health workers at the clinic or during home visits, and 3) integrated efforts by clinicians and community health workers to educate patients, do community outreach, and provide social support. Participants receive three to five clinic visits and two to three home visits, and patient information is entered into an asthma database.
Goal / Mission
The goal of the Yes We Can Urban Asthma Partnership is to improve asthma control among low-income children with asthma.
Results / Accomplishments
In a pre- and post-intervention study, prescription of controller medications significantly increased (p < 0.01) and significantly more patients had an asthma action plan (p < 0.001). Patients reported a significant increase in the use of mattress and pillow covers in the home (p < 0.001) and exposure to pets and smoke in the home trended toward improvement. Days with asthma symptoms decreased significantly (5.1 to 2.8) as did the number of nights with symptoms (5.0 to 2.7). Patients also showed significant improvement in activity impairment (p < 0.01 for all measures).
About this Promising Practice
Organization(s)
San Francisco General Hospital Department of Pediatrics
Primary Contact
Kimberly Honda
San Francisco General Hospital
1001 Potrero Avenue, MS6E
San Francisco, CA 94110
http://sfghdean.ucsf.edu/pediatrics/
San Francisco General Hospital
1001 Potrero Avenue, MS6E
San Francisco, CA 94110
http://sfghdean.ucsf.edu/pediatrics/
Topics
Health / Children's Health
Health / Respiratory Diseases
Environmental Health / Toxins & Contaminants
Health / Respiratory Diseases
Environmental Health / Toxins & Contaminants
Organization(s)
San Francisco General Hospital Department of Pediatrics
Source
Journal of Asthma
Date of publication
2006
Date of implementation
1997
Geographic Type
Urban
Location
San Francisco, CA
For more details
Target Audience
Children