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Access and Utilization of Asthma Medications Among Patients Who Receive Care in Federally Qualified Health Centers
OBJECTIVES: To describe access to and use of prescription asthma medications, and to assess factors associated with asthma exacerbation, healthcare utilization, and health status among asthma patients treated at Federally Qualified Health Centers. METHODS: This is a retrospective cross-sectional stu...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9130805/ https://www.ncbi.nlm.nih.gov/pubmed/35603467 http://dx.doi.org/10.1177/21501319221101202 |
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author | Ali, Asma M. Gaglioti, Anne H. Stone, Rebecca H. Crawford, Natalie D. Dobbin, Kevin K. Guglani, Lokesh Young, Henry N. |
author_facet | Ali, Asma M. Gaglioti, Anne H. Stone, Rebecca H. Crawford, Natalie D. Dobbin, Kevin K. Guglani, Lokesh Young, Henry N. |
author_sort | Ali, Asma M. |
collection | PubMed |
description | OBJECTIVES: To describe access to and use of prescription asthma medications, and to assess factors associated with asthma exacerbation, healthcare utilization, and health status among asthma patients treated at Federally Qualified Health Centers. METHODS: This is a retrospective cross-sectional study. We analyzed data from the 2014 National Health Center Patient Survey. This data is publicly available from the Health Resources and Services Administration. Data was collected from patients receiving face-to-face care from health centers funded under Section 330 of the Public Health Service Act. Data from patients was collected between October 8, 2014, and April 17, 2015. We included adult participants who reported having a diagnosis of asthma and confirmed that they still have asthma. Association between explanatory variables (access to prescription medications and use of asthma controller medications) and outcome variables (asthma exacerbations, asthma hospitalizations or emergency department visits, and self-rated health) was assessed using multivariable regression analyses while adjusting for demographics. RESULTS: A total of 919 participants with asthma were included. Approximately 32% of the participants experienced delays in getting prescription medications, 26% were unable to get them, 60% experienced an asthma exacerbation last year, 48% rated their health as fair/poor, and 19% visited a hospital or an emergency department last year. Multivariable results showed that participants who were currently taking controller medications were more likely to have experienced an asthma exacerbation (OR = 4.02; 95% CI 1.91 to 8.45; P < .01), or visited a hospital or an emergency department (OR = 3.07; 95% CI 1.39 to 6.73; P < .01) in the last year compared with those who had never taken controller medications. Experiencing difficulties in accessing asthma medications was associated with lower self-rated health ( [Formula: see text] = −.51; 95% CI −0.94 to −0.08; P = .02). CONCLUSIONS: Future interventions should seek to improve asthma patient care and health outcomes using innovative strategies that act at multiple levels of the healthcare system (eg, individual, interpersonal, community levels). |
format | Online Article Text |
id | pubmed-9130805 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-91308052022-05-26 Access and Utilization of Asthma Medications Among Patients Who Receive Care in Federally Qualified Health Centers Ali, Asma M. Gaglioti, Anne H. Stone, Rebecca H. Crawford, Natalie D. Dobbin, Kevin K. Guglani, Lokesh Young, Henry N. J Prim Care Community Health Original Research OBJECTIVES: To describe access to and use of prescription asthma medications, and to assess factors associated with asthma exacerbation, healthcare utilization, and health status among asthma patients treated at Federally Qualified Health Centers. METHODS: This is a retrospective cross-sectional study. We analyzed data from the 2014 National Health Center Patient Survey. This data is publicly available from the Health Resources and Services Administration. Data was collected from patients receiving face-to-face care from health centers funded under Section 330 of the Public Health Service Act. Data from patients was collected between October 8, 2014, and April 17, 2015. We included adult participants who reported having a diagnosis of asthma and confirmed that they still have asthma. Association between explanatory variables (access to prescription medications and use of asthma controller medications) and outcome variables (asthma exacerbations, asthma hospitalizations or emergency department visits, and self-rated health) was assessed using multivariable regression analyses while adjusting for demographics. RESULTS: A total of 919 participants with asthma were included. Approximately 32% of the participants experienced delays in getting prescription medications, 26% were unable to get them, 60% experienced an asthma exacerbation last year, 48% rated their health as fair/poor, and 19% visited a hospital or an emergency department last year. Multivariable results showed that participants who were currently taking controller medications were more likely to have experienced an asthma exacerbation (OR = 4.02; 95% CI 1.91 to 8.45; P < .01), or visited a hospital or an emergency department (OR = 3.07; 95% CI 1.39 to 6.73; P < .01) in the last year compared with those who had never taken controller medications. Experiencing difficulties in accessing asthma medications was associated with lower self-rated health ( [Formula: see text] = −.51; 95% CI −0.94 to −0.08; P = .02). CONCLUSIONS: Future interventions should seek to improve asthma patient care and health outcomes using innovative strategies that act at multiple levels of the healthcare system (eg, individual, interpersonal, community levels). SAGE Publications 2022-05-21 /pmc/articles/PMC9130805/ /pubmed/35603467 http://dx.doi.org/10.1177/21501319221101202 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Ali, Asma M. Gaglioti, Anne H. Stone, Rebecca H. Crawford, Natalie D. Dobbin, Kevin K. Guglani, Lokesh Young, Henry N. Access and Utilization of Asthma Medications Among Patients Who Receive Care in Federally Qualified Health Centers |
title | Access and Utilization of Asthma Medications Among Patients Who Receive Care in Federally Qualified Health Centers |
title_full | Access and Utilization of Asthma Medications Among Patients Who Receive Care in Federally Qualified Health Centers |
title_fullStr | Access and Utilization of Asthma Medications Among Patients Who Receive Care in Federally Qualified Health Centers |
title_full_unstemmed | Access and Utilization of Asthma Medications Among Patients Who Receive Care in Federally Qualified Health Centers |
title_short | Access and Utilization of Asthma Medications Among Patients Who Receive Care in Federally Qualified Health Centers |
title_sort | access and utilization of asthma medications among patients who receive care in federally qualified health centers |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9130805/ https://www.ncbi.nlm.nih.gov/pubmed/35603467 http://dx.doi.org/10.1177/21501319221101202 |
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