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Pediatric Asthma Care Coordination in Underserved Communities: A Quasiexperimental Study.

Am J Public Health

November 2016

At the time of the study, Mary R. Janevic, Shelley Stoll, and Margaret Wilkin were with the Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor. Peter X. K. Song and Wen Wang are with the Department of Epidemiology, University of Michigan School of Public Health. Alan Baptist is with the Division of Allergy and Clinical Immunology, University of Michigan Medical School, Ann Arbor. Marielena Lara was with the Children's Hospital of Los Angeles, University of Southern California, Los Angeles. Gilberto Ramos-Valencia is with the Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico, San Juan, Puerto Rico. Tyra Bryant-Stephens is with the Children's Hospital of Philadelphia, Philadelphia, PA. Victoria Persky is with the Division of Epidemiology and Biostatistics, University of Illinois, Chicago School of Public Health, Chicago, IL. Kimberly Uyeda is with the Los Angeles Unified School District, Los Angeles. Julie Kennedy Lesch and Floyd J. Malveaux were with the Merck Childhood Asthma Network, Inc., Washington, DC.

Objectives: To assess the effect of care coordination on asthma outcomes among children in underserved urban communities.

Methods: We enrolled children, most of whom had very poorly or not well-controlled asthma, in medical-social care coordination programs in Los Angeles, California; Chicago, Illinois; Philadelphia, Pennsylvania; and San Juan, Puerto Rico in 2011 to 2014. Participants (n = 805; mean age = 7 years) were 60% male, 50% African American, and 42% Latino.

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