SHM Converge Scientific Abstract ePoster Gallery-Healthcare Disparities Not Found in Hospital-Based Asthma Intervention Implementation

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This study examined whether a hospital-based, systems-level asthma care bundle was implemented differently across patient groups, especially among underserved populations. The analysis used data from a prospective multicenter study of 100 adults aged 18–54 years hospitalized with acute asthma. The intervention bundle included laboratory testing, asthma education (action plan, inhaler technique, peak flow meter, smoking cessation help), and transitional care steps such as corticosteroid prescriptions, inhaled steroid adjustments, and scheduling follow-up with an asthma specialist.<br /><br />Researchers assessed overall bundle implementation using a composite concordance score and also looked at individual components, including action plan provision, inhaler education, and follow-up after discharge. Patient characteristics examined included age, sex, race/ethnicity, education, smoking status, socioeconomic status, insurance, primary care access, and comorbidities. Generalized linear mixed models were used for analysis.<br /><br />The main finding was that there were no significant disparities in delivery of the overall intervention bundle or any individual bundle element across patient subgroups. The median bundle implementation score was 6.3 out of 10. The sample was mostly female (72%), Black (66%), with 12% identifying as Hispanic, and the median age was 40 years.<br /><br />The authors conclude that standardized, systems-level bundled asthma interventions may help reduce the influence of provider bias and promote more equitable care delivery. However, the study was limited by its small sample size, focus on mostly severe asthma patients from urban settings, and lack of provider-level data. Further research is needed to determine whether such bundled interventions can improve asthma outcomes and reduce disparities across diverse populations.

Asset Subtitle

Mary J. Akel

Meta Tag

Author List Carlos A. Camargo Jr., Kohei Hasewaga, Mary J. Akel, Michimasa Fujiogi, Valerie G. Press

Category Research

Concept Asthma Intervention Bundle

Concept Care Disparity

Concept Intervention Implementation

Concept Bundle Implementation

Concept Systems-Level Intervention

Distinguished Non-Finalist

Presenter Organization University of Chicago

Presenting Author Mary J. Akel

Track Quality Improvement

Keywords

asthma care bundle

health disparities

hospitalized asthma

equitable care

transitional care

asthma education

action plan

inhaler technique

follow-up care

systems-level intervention

Asthma Intervention Bundle

Care Disparity

Intervention Implementation

Bundle Implementation

Systems-Level Intervention