Sean M. Frey

ABSTRACT Objective Clinical diagnoses of asthma and reactive airway disease (RAD) in young children are subjective. We examined how often children were diagnosed with asthma vs RAD, and whether preventive care and 2-year clinical outcomes differed based on initial diagnosis. Methods We conducted a retrospective cohort analysis of children (2-7 years) from a university-based general pediatrics practice who had been diagnosed with RAD or asthma.

Families living in medically underserved rural areas across the United States encounter many obstacles to accessing high-quality outpatient pediatric care, including limited transportation1 and clinician shortages.2 Children insured by Medicaid may face particular challenges finding a primary care physician or scheduling an appointment.3 Poor access to care can result in preventable pediatric visits to an emergency department (ED) for low-acuity illnesses and ambulatory care–sensitive...

To view the full text, please login as a subscribed user or purchase a subscription. Click here to view the full text on ScienceDirect. Figure 1 Improvement in mean SFD compared with baseline. In this series of multivariate regression analyses, each follow-up was sequentially used as the reference for comparing all other follow-ups. Follow-ups were grouped for analysis when SFD were statistically similar between them.