| Sign In to gain access to subscriptions and/or personal tools. |
The Fresno Asthma Project: A Model Intervention to Control Asthma in Multiethnic, Low-Income, Inner-City CommunitiesDepartment of Health Services Research at the Palo Alto Medical Foundation Research Institute, Palo Alto, California.
Department of Allergy and Immunology, The Permanente Medical Group, Fresno, California.
San Joaquin Valley Health Consortium, Fresno.
American Lung Association of Central California, Fresno.
Institute for Health Care Research, American Institutes for Research, Palo Alto.
American Lung Association of Central California, Fresno.
San Joaquin Valley Health Consortium, Fresno. The Fresno Asthma Project targeted the entire low-income, inner-city, multiethnic population of Fresno, California. For 36 months following a 6-month planning phase, continuing education was provided to a high proportion of physicians, pharmacists, nurses/respiratory therapists, emergency medical technicians, school personnel, and allied health professionals involved in asthma care in Fresno, including virtually all those providing care/services to the target population. Small group patienteducation was made available and provided in age and culturally appropriate formats to patients/families in clinics, hospitals, and schools. General and ethnic media and a Speakers Bureau were used to raise public awareness of asthma as a serious but controllable health problem. This community intervention model is particularly appropriate to multiethnic communities. It is relatively low cost (total direct costs were $140,000 per year), uses existing educational resources, and appears to have minimized counterproductive competition. Although morbidity and mortality trend data are not yet available to monitor program impact, penetration into the target community has been substantial: community physicians refer patients to asthma classes, asthma educator training is ongoing through the local American Lung Association chapter, hospitals and managed care systems serving low-income/MediCal patients offer asthma classes, and public schools and HeadStart are institutionalizing asthma awareness and self-management classes.
Health Education & Behavior, Vol. 25, No. 1,
79-98 (1998) This article has been cited by other articles:
|
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 |
|
|
 |
|
Sign In to gain access to subscriptions and/or personal tools.
