Health Care Facility-based Settings

Health care facility-based interventions often involve asthma counseling by a health care provider in public or private health care settings (e.g., doctor’s office, hospital, health department, or assisted living facility). However, these interventions can also include training for health care professionals on the importance of asthma prevention, ways to encourage people to manage their asthma, and specific information for subpopulations (e.g., children, people with other illnesses). Some of the challenges in the health care setting include the limited time physicians or health care providers may have to visit with their individuals and the risk of information overload because of competing or related health priorities (e.g., diet, physical activity, tobacco use or adherence to a medical pill regimen). Referrals can also be an important part of interventions in health care settings.

Previous work in health care facility-based settings has found:

  • Visual media placed in health care settings may help remind individuals with asthma to ask their health care providers about their symptoms or help providers remember to talk with individuals about management techniques.
  • Health care settings (e.g., hospitals, pharmacies, maternal clinics, dental clinics, WIC clinics, emergency rooms, newborn service providers, residential care facilities, and pediatrician clinics) are important settings for asthma interventions because of the natural provider-patient exchange.
  • Health care facilities often provide direct access to the individuals with asthma.
  • Emergency rooms in hospitals are highly effective settings in reaching asthmatic populations with the greatest need of receiving tailored asthma information.
  • Because organizations in health care facility-based settings assess and store information on individuals, they are well-suited for asthma interventions because individual information is already collected and communication systems for these individuals are already in place. These settings make it easier to distribute individually tailored information to participants.
  • Pharmacy-based asthma education interventions can offer convenient locations and hours of operation to people with asthma.
  • Education sessions can be incorporated into existing infrastructure for asthma education in a variety of settings in order to provide long-term support asthma self management behaviors.
  • Interventions in health care facilities tend to focus on distribution of medications, peak flow meters and other policies to improve access and quality of health care.

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