Asthma Care Quality, Language, and Ethnicity in a Multi-State Network of Low-income Children

John Heintzman, MD, MPH; Jorge Kaufmann, ND, MS; Jennifer Lucas, PhD; Shakira Suglia, PhD; Arvin Garg, MD; Jon Puro, MS; Sophia Giebultowicz, MA; David Ezekiel-Herrera, MS; Andrew Bazemore, MD; Miguel Marino, PhD


J Am Board Fam Med. 2020;33(5):707-715. 

In This Article


In a national network of CHCs, Latino children had lower odds of having their asthma diagnosis recorded on their problem list on the same day the diagnosis was noted as compared with non-Hispanic white children, but had it recorded more quickly after the first day. Spanish-preferring children were more likely to have ever been prescribed albuterol, inhaled or oral corticosteroids, and among those with any prescriptions, had higher rates of albuterol prescriptions. When diagnosed with mild persistent asthma, Spanish-preferring Latino children had higher rates of inhaled and lower rates of oral corticosteroids. In many of the care measures we examined, there was no difference in the care documented between non-Hispanic white children, Spanish-preferring Latino children, and English-preferring Latino children, which may help in directing further research toward other aspects of the asthma care continuum. Further research should examine medication fill/use rates, presenting symptoms and correlating prescriptions, initial diagnosis rates among children with symptoms, and how CHCs may be a model for improving health equity.