The results of the project provide support for the concept of school-based health centers in urban areas and for community partnerships to improve child health, according to researchers from Cincinnati Children's Hospital Medical Center involved in the initiative. They will present their study of the project at 3:15 p.m. Pacific time Saturday, April 29, at the annual Pediatric Academic Societies meeting in San Francisco.
"Improving outcomes through evidence-based care shows that school-based health centers can improve child health," says Mona Mansour, M.D., a physician at Cincinnati Children's and medical director of the school-based health centers. Dr. Mansour co-authored the study with Barbara Rose, M.P.H., who was project manager of the quality improvement initiative.
Rose and Dr. Mansour followed 212 children with asthma who are enrolled in four school-based health centers in Cincinnati that are operated by Neighborhood Health Care, Inc., a federally qualified health center organization. The centers provide comprehensive primary, mental and dental health services to children in grades K-8. Cincinnati Children's provides physicians and nurse practitioners for these centers and collaborates with the Cincinnati Health Department, which provides school nurses; the Cincinnati Public Schools; and, parents of children with asthma.
These individuals and organizations met and engaged in "visioning exercises" to determine what "perfect asthma care" would look like to them. They developed promises and measures to know whether goals were being met. Perfect care became a composite measure of asthma severity classification, a written care plan and appropriate controller medications. Outcomes measures also included minimal restriction in activity and the number of
Contact: Jim Feuer
Cincinnati Children's Hospital Medical Center