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Improvements in health care use associated with community coalitions: Long-term results of the allies against asthma initiative

Author

Listed:
  • Clark, N.M.
  • Lachance, L.L.
  • Benedict, M.B.
  • Doctor, L.J.
  • Gilmore, L.
  • Kelly, C.S.
  • Krieger, J.
  • Lara, M.
  • Meurer, J.
  • Milanovich, A.F.
  • Nicholas, E.
  • Song, P.X.K.
  • Rosenthal, M.
  • Stoll, S.C.
  • Awad, D.F.
  • Wilkin, M.

Abstract

Objectives. We assessed changes in asthma-related health care use by lowincome children in communities across the country where 6 Allies Against Asthma coalitions (Hampton Roads, VA; Washington, DC; Milwaukee, WI; King County/Seattle, WA; Long Beach, CA; and Philadelphia, PA) mobilized stakeholders to bring about policy changes conducive to asthma control. Methods. Allies intervention zip codes were matched with comparison communities by median household income, asthma prevalence, total population size, and race/ethnicity. Five years of data provided by the Center for Medicare and Medicaid Services on hospitalizations, emergency department (ED) use, and physician urgent care visits for children were analyzed. Intervention and comparison sites were compared with a stratified recurrent event analysis using a Cox proportional hazard model. Results. In most of the assessment years, children in Allies communities were significantly less likely (P

Suggested Citation

  • Clark, N.M. & Lachance, L.L. & Benedict, M.B. & Doctor, L.J. & Gilmore, L. & Kelly, C.S. & Krieger, J. & Lara, M. & Meurer, J. & Milanovich, A.F. & Nicholas, E. & Song, P.X.K. & Rosenthal, M. & Stoll,, 2013. "Improvements in health care use associated with community coalitions: Long-term results of the allies against asthma initiative," American Journal of Public Health, American Public Health Association, vol. 103(6), pages 1124-1127.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.300983_6
    DOI: 10.2105/AJPH.2012.300983
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    Cited by:

    1. Haldane, Victoria & Singh, Shweta R. & Srivastava, Aastha & Chuah, Fiona L.H. & Koh, Gerald C.H. & Chia, Kee Seng & Perel, Pablo & Legido-Quigley, Helena, 2020. "Community involvement in the development and implementation of chronic condition programmes across the continuum of care in high- and upper-middle income countries: A systematic review," Health Policy, Elsevier, vol. 124(4), pages 419-437.
    2. Lombard, Wendy & Burke, Jodi & Waddell, Sandra & Franke, Arthur, 2015. "Utilizing findings from a gender-based analysis to address chronic disease prevention and management among African-American women in a Michigan community," Evaluation and Program Planning, Elsevier, vol. 51(C), pages 63-69.
    3. Alexandra M Ouédraogo & Eric J Crighton & Michael Sawada & Teresa To & Kevin Brand & Eric Lavigne, 2018. "Exploration of the spatial patterns and determinants of asthma prevalence and health services use in Ontario using a Bayesian approach," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-16, December.

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