Reid Margaret, Fiffer Melissa, Gunturi Nivedita, Ali Amanda, Irish Dion, Sandel Megan
J Environ Health. 2014 Mar;76(7):36-9.
Asthma, the most significant cause of pediatric morbidity and mortality, is exacerbated by adverse environmental conditions, especially substandard housing. The clinical care provider is often unable to address housing and environmental trigger issues. In Boston, Massachusetts, a web-based referral system called Breathe Easy At Home has been put in place, through which clinicians can refer patients to have their homes inspected for housing code violations that may be contributing to their asthma. Violations will then be brought to the attention of the landlord, who then has the option of redressing the issue or be taken to housing court. By bringing the local public health department, the city's inspectional services department, and the clinical care provider together with the help of a program coordinator, Breathe Easy At Home is able to provide comprehensive care to asthma patients. This program also serves as a replicable model for other cities and jurisdictions to follow.
哮喘是儿童发病和死亡的最重要原因,恶劣的环境条件会使其恶化,尤其是住房条件不达标的情况。临床护理人员往往无法解决住房和环境触发因素问题。在马萨诸塞州波士顿,一个名为“在家轻松呼吸”的基于网络的转诊系统已经建立,通过该系统,临床医生可以将患者转诊,以便对其房屋进行检查,查看是否存在可能导致其哮喘的违反住房法规的情况。违规情况随后会被告知房东,房东可以选择解决问题,否则将被送上住房法庭。通过在项目协调员的帮助下,将当地公共卫生部门、城市检查服务部门和临床护理人员聚集在一起,“在家轻松呼吸”能够为哮喘患者提供全面护理。该项目也为其他城市和司法管辖区提供了一个可复制的模式。