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In the previous 12 months, unscheduled clinic visits for urgent asthma treatment and scheduled clinic visits for asthma care.
The cost of co-pays to visit when the asthma is not a major problem may also discourage some less urgent asthma visits.
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The comparative effectiveness of PACE and PACE Plus on clinician's therapeutic and communication practices with the family/patient, children's urgent care use for asthma, asthma control, and quality of life, and parent/caretaker satisfaction with physician performance will be assessed.
Imagine one of those kids never fills his inhalers and has been in urgent care with asthma attacks three times over the last year, probably because Mom and Dad aren't really on top of it".
In addition, Hirshon et al. (2008) found associations between ambient Zn and asthma urgent care visits and hospitalization among a cohort of individuals < 18 years of age.
At baseline and among the smokers, those who remained smokers and those who quit smoking at 12-month follow-up were not statistically different except that ex-smokers had almost 3 times higher urgent visits for asthma (33.3% versus 12.3%, p = 0.045) and higher proportion of them had peak flow monitoring (40.0% versus 16.5%, p = 0.04).
In addition, urgent care visits for asthma per year is now included in the criteria for defining severe/refractory asthma (20).
This group is less likely to have insurance or a usual source of care and appears to rely on urgent care sites for asthma management.
As the number of urgent visits due to asthma was 1.2 per person-year in children on regular inhaled steroids in another study, the number of subjects required would be around 80 [ 22].
Simple mechanical home interventions are effective in the reduction of allergen loads in the home, in reducing symptoms and urgent care associated with asthma, and in preventing the emergence of the disease.
A previously existing economic incentive to promote improved health care quality in PHC (e.g. telephone lines for non-urgent health advice, systematic asthma care) was targeted to PARs in the county in 2004.
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