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Principal Investigators: Kenny Kwong (DHS), Paul Fu (UCLA/Harbor)
UCLA CTSI-Los Angeles County Department of Health Services (DHS) Projects
Asthmatic children with frequent asthma exacerbations require preventative long term care to reduce morbidity, yet many of these patients belong to community health care organizations (HMOs) without a network/contracted pediatric emergency department (PED). This may result in no transition from costly acute to cost effective preventative care, poor disease control and leading patients to use the PED in “revolving door” fashion. It is unclear whether lack of transition from acute to chronic asthma care occurs between the PED at Harbor-UCLA Medical Center (HUMC) and out of network community HMOs and whether this leads to increased asthma morbidity. This current study compares pediatric asthma patients who receive regular asthma care at HUMC versus community HMOs with primary outcomes being asthma control, asthma PED visits, asthma hospitalizations, preventative provider visits and asthma controller prescriptions. Results will identify barriers to smooth transition of asthmatic care between 2 health care systems that can be targeted to improve care to asthmatic children.