Patient Needs Assessment in an Inner-City Pediatric Asthma Disease Management System
Monday, March 5, 2018
South Hall A2 (Convention Center)
Claire B Smigiel, MD, Erica Cua, MD, Marilyn Li, MD FAAAAI, Lyne G. Scott, MD FAAAAI, Breck Romine Nichols, MD MPH, Kenny Kwong, MD
RATIONALE: Unanticipated patient needs may be the reason inner city children do not attain asthma control. We hypothesize existence of significant unmet patient needs in a focused asthma disease management program.

METHODS: As part of quality improvement project a 30 question English and Spanish survey instrument assessing needs of asthmatic patients were administered to caretakers of asthmatic pediatric patients from 10/16 to 02/17 followed at an asthma disease management program in the greater Los Angeles area. Needs assessment were score on a scale of 1-10. A secondary assessment of patient satisfaction was also included to assess patient satisfaction with providers, nursing and pharmacy care alos on a scale of 1-10.

RESULTS: 843 surveys were given out and 580 returned (44% return rate). Needs identified (those with a significantly low mean score) were: Ability to afford medication co-pays, ability to obtain medical equipment (spacer and nebulizers), ability to make same day urgent appointments and ability to find parking at provider sites. Only pharmacy care received a low patient satisfaction score (significantly low mean score).

CONCLUSIONS: Results show that external factors unrelated to the quality of medical care may significantly impact ability of inner city asthmatic children to achieve asthma control. Patients were very satisfied with the interactions with the care team and medical care/education they received. Strategies aimed at improving unmet patient needs such as such as availability of parking, paying for medication, and acquiring medical devices may result in improved asthma control among inner city asthmatic children.