Understanding of Asthma Management: Role of Medical Provider

Caregivers expressed a concern that care provided differed when physicians or medical staff noted their Medicaid insurance coverage. Some had to show extra paperwork at the physician’s office, while others believed they received lesser treatment or were stigmatized. Overall, parents believed that coverage provided by Medicaid was adequate and that the needed care was available for their child. Medicaid was credited by some parents as allowing them to establish a medical home for their child’s asthma care. http://cfp-for-you.com/
Caregivers of children with asthma were concerned with the level of access to medical providers during an asthma episode. Availability of 24-h call lines during an emergency were seen as strategies to receive support prior to visiting an emergency department. Parents were concerned the level of office triage for asthma was either missing or of a lower priority, specifically during an asthma episode. Again, perceptions of discrimination and indifference were mentioned as issues for parents of children receiving care insured by Medicaid: “Or you are not going to get the full care that you would if you had regular insurance.”
Caregivers noted the importance of physician verbal and nonverbal communication skills. Good relationships were those in which medical providers were characterized as good listeners and educators, willing to spend time with both the caregiver and child with asthma. The caregiver’s perception of the relationship appeared closely tied to their understanding of asthma management and their follow-through with care: “I just feel that the doctor letting me know everything that I need to know that can trigger the asthma helps.”
Poor relationships were seen as those where medical providers not only spent little time with the caregiver and patient, but where asthma information was not clearly explained or messages were inconsistent. Periodically, parents received inconsistent asthma messages and education from within the provider’s office—physician vs nurse vs educator— staff.

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