ABSTRACT
Asthma care for patients who have limited health literacy is very costly. The resources to help patients who have lower health literacy levels are very few are not well identified. Significant gains in asthma control, self-efficacy in managing asthma, and improvement in overall costs of care for this patient population can be achieved when health literacy challenges are addressed. This research suggests that one-on-one education with an asthma educator that specifically addresses health literacy levels and care designed around the National Asthma Guidelines can produce significant reductions in the cost for asthma care through decreased emergency department visits and hospitalizations, and improved self-management of asthma exacerbations.
Subject(s)
Asthma/nursing , Health Literacy , Patient Education as Topic/organization & administration , Patient-Centered Care/organization & administration , Asthma/diagnosis , Asthma/economics , Asthma/therapy , Child , Child, Preschool , Cost Savings , Female , Healthcare Disparities/statistics & numerical data , Humans , Male , Nurse's Role , Nursing Research , Quality of Health Care , Risk Assessment , Severity of Illness Index , Socioeconomic Factors , United StatesABSTRACT
OBJECTIVES: To assess general pediatricians' screening practices for sleep-related issues and assess their knowledge on common sleep complaints in children, their perceived barriers to screening for sleep issues, and whether they have received training regarding sleep issues. METHODS: A national random sample (n = 700) of general pediatricians who were members of the American Academy of Pediatrics were sent a valid and reliable questionnaire on sleep problems in youth. RESULTS: A total of 346 pediatricians (49%) responded. The vast majority (96%) indicated that they believed it was their job to counsel patients/guardians regarding sleep hygiene, yet few pediatricians (18%) had ever received formal training on sleep disorders. Those who did not screen for sleep problems spent significantly less time with each patient and perceived significantly more barriers to screening. Pediatricians who had received training about sleep disorders had significantly higher knowledge scores on sleep problems, perceived significantly fewer barriers to screening, and reported significantly higher confidence scores regarding counseling patients/guardians on sleep problems. CONCLUSION: These findings support the need for formal education on sleep disorders for all pediatricians.
