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Breathe Easy at Home: A Qualitative Evaluation of a Pediatric Asthma Intervention

机译：在家中轻松呼吸：对小儿哮喘干预的定性评估

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The Breathe Easy at Home Program enables clinicians to refer asthmatic patients to Boston Inspectional Services Department (ISD) if they suspect housing conditions trigger symptoms. The authors conducted one-on-one interviews with clinicians (n = 10) who referred patients, and focus groups with inspectors from the ISD (n = 9) and a variety of stakeholders (n = 13), to gain insight into program function and implementation. Clinician interviews revealed inconsistencies in enrollment approaches, dissatisfaction with the web-based system, and patient follow-up difficulties. Inspectors identified barriers to working effectively with residents and landlords, and the stakeholder focus group highlighted successes of an unusual institutional collaboration. Interviews and focus groups identified strong and personal rapport between clinicians, inspectors, and patients as key to program retention, and that participating families required additional support throughout the process. Despite recommendations for improvement in program implementation, clinicians, inspectors, and stakeholders felt that the program overall improved both the home environment and asthma outcomes.
机译：“呼吸轻松在家”计划使临床医生如果怀疑哮喘患者怀疑居住条件引发症状，可以将他们转介至波士顿检查服务部门（ISD）。作者对转诊患者的临床医生（n = 10）进行了一对一的访谈，并与来自ISD（n = 9）和各种利益相关者（n = 13）的检查员进行了焦点小组访谈，以深入了解计划功能和实施。临床医生访谈显示，招生方式不一致，对基于Web的系统不满意以及患者的随访困难。检查专员查明了与居民和房东有效合作的障碍，利益相关者焦点小组强调了不同寻常的机构合作的成功。访谈和焦点小组认为，临床医生，检查员和患者之间的牢固和个人融洽是计划保留的关键，并且参与的家庭在整个过程中都需要额外的支持。尽管提出了改进计划实施的建议，但临床医生，检查员和利益相关者仍认为该计划总体上改善了家庭环境和哮喘的治疗效果。

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