Use of the Written Asthma Plan in Kindergartens and Elementary Schools
Objective: In this study, we aimed to establish the characteristics, availability, and use of an asthma Personalized Medical Plan (PMP) at school. Methods: We carried out a retrospective one school-year study in the public schools of Paris (School Health Department, SHP) and a prospective study in a Parisian Hospital Pulmonary Function Test (PFT) department. Results: The SHP group recorded 122,171 children in pre-kindergartens, kindergartens and elementary schools of which 2.9% had established a PMP for asthma. In the PFT group (N = 194) a PMP was more frequent (75.8%). In children with a PMP and during the study year, an asthma reliever had been administered at school according to the PMP prescription in 29% of children in the HSP group and in 59.2% in the PFT group. Children older than age 6 years were able to ask for the asthma reliever when necessary, whereas younger children relied on adults noticing their respiratory symptoms. Environmental tobacco exposure increased the use of PMP at school. Conclusion: A minority of asthmatic children have a PMP at school despite the ease of the process in our setting. When available, the PMP is frequently used.
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Document Type: Research Article
Publication date: January 1, 2020
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