Editorial |

Astoria Revisited:  New Hope in the Struggle to Link Community- and School-Based Care?

Julia Graham Lear, PhD
Arch Pediatr Adolesc Med. 2011;165(3):279-281. doi:10.1001/archpediatrics.2010.289.
Text Size: A A A
Published online


The high prevalence of asthma, its persistent undertreatment, and the disparate consequences for poor, Hispanic, and non-Hispanic black children have prompted studies on how to improve treatment and outcomes for children. School-based interventions have demonstrated promise for securing better health status for children and reduced costs of care.1,2

In this issue of the Archives, Halterman and colleagues3 remind us of those earlier studies and underscore the health benefits possible when community- and school-based providers collaborate and partner with parents in the care of children. In this carefully executed study, the implementation of a school-based asthma management system that linked with primary care providers and a home-visit–based parent education program resulted in more symptom-free days for asthmatic children, decreased nighttime symptoms, lowered the use of rescue medications, and increased the number of symptom-free days when compared with participants in a control. By assuring delivery of daily asthma preventive medication and reducing environmental tobacco smoke in the child's home, the intervention “significantly improved symptoms among urban children with persistent asthma.” Every parent and grandparent of a child with asthma knows the true value of these positive outcomes.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles

Users' Guides to the Medical Literature
Clinical Resolution

Users' Guides to the Medical Literature
Clinical Scenario