PA activities are individualized, take account of comorbidities, and are generalizable to other chronic diseases. The PA facilitates scheduling, obtaining insurance coverage, overcoming patients' unique social and administrative barriers to carrying out medical advice and transfer of information between providers and patients. The PA coaches, models, and assists participants with preparations for a visit with the asthma clinician attends the visit with permission of participant and provider and confirms participants' understanding of what transpired at the visit. We describe the planning, design, methodology (informed by patient and provider focus groups), baseline results, and challenges of an ongoing randomized controlled trial of 312 adults of a PA intervention implemented in a variety of practices. We adapted a patient navigator, here called a Patient Advocate (PA), a term preferred by patients, to facilitate and maintain access to chronic care for adults with moderate or severe asthma and prevalent co-morbidities recruited from clinics serving low-income urban neighborhoods. Even fewer have focused on the real-world practice where care is delivered. Few interventions to improve asthma outcomes have targeted low-income minority adults.
0 Comments
Leave a Reply. |