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Clinical Pediatrics, Vol. 43, No. 3, 269-274 (2004)
DOI: 10.1177/000992280404300308

Pediatrician Attitudes and Practices Regarding Collaborative Asthma Education

Michael D. Cabana, MD, MPH

Department of Pediatrics, University of Michigan Health System, Ann Arbor, Michigan

Kathryn K. Slish, MA

Department of Pediatrics, University of Michigan Health System, Ann Arbor, Michigan

Randall Brown, MD, MPH

Department of Pediatrics, University of Michigan Health System, Ann Arbor, Michigan

Noreen M. Clark, PhD

Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan

Pediatric practices were surveyed in 10 regions of the country to determine physician attitudes and practices regarding approaches to asthma education. Many physician respondents thought that nurses were just as effective as physicians in providing asthma education. In almost all practices a physician was involved; in two thirds of practices, an allied health professional; and in almost half of practices (48%), a registered nurse was involved. The type of healthcare professional involved in education was not associated with percentage of patients with Medicaid insurance, practice ownership, or setting. Given the multidisciplinary approach to education in many pediatric practices, quality improvement efforts to enhance asthma education by pediatric practices could be further enhanced by directly involving allied health professionals who practice in primary care settings.


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