Community Health Centers Primary Care Physicians' Asthma Management Perception: A Qualitative Study Regarding Uninsured Patients

Community Health Centers Primary Care Physicians' Asthma Management Perception: A Qualitative Study Regarding Uninsured Patients

Author: 
Mary Pearson
Program of study: 
D.H.A.
Abstract: 
Primary care physicians in community health care centers play a pivotal role in closing health care gaps for uninsured asthma sufferers. Asthma patients are not consistently receiving sustainable asthma management in community health care centers in Ohio, and quantitative evidence has substantiated perceptions of primary care physicians regarding the problem, particularly those that are responsible for providing services to complex asthma patients that lack health insurance. This qualitative case study explored the perceptions of a convenience sample of four primary care physicians from two community health centers in Franklin County, Ohio regarding factors that contribute to their inability to consistently provide sustainable asthma management services to their uninsured patient population. Results indicated 75% of participants perceived time constraints as one of the barriers to providing sustainable asthma management services. To minimize the number of uninsured asthma patients that suffer from uncontrolled asthma, additional health reform and asthma disease management programs that support primary care physicians in community health centers in Franklin County, Ohio, and other health care centers in communities alike are needed. Recommendations for future research included research beyond CHCs in Franklin County, Ohio to an expanded sample of primary care physicians to further explore sustainable asthma care as well as an examination of patient behavior to improve asthma outcomes for the uninsured.
Dedication: 
The successful completion of my doctoral journey would not have been possible without God and the encouragement of many people, especially my mother. To my life partner and best friend, who believed in me when I did not believe in myself, thank you for you continuous love and support. To my two boys, who continued to love me unconditional through all my struggles, you are my primary reason for the completing this project. To my brothers, sister, and extended family members, thank for providing me with the willpower to be successful. To the community health center’s physician and administrative staff, this dream would not have been possible without your contribution. Finally, to my dear sweet Grandmother, who always believed in me and silently guided me with your strength and wisdom, may you continue to rest in peace. Grandma, although you were not here to share in my joy, I know that you are smiling down from heaven with proud eyes.
Acknowledgements: 
Many thanks to Dr. Dennis White for investing his time in me and believing in my capabilities as a scholar, practitioner, and leader. The inspiration for this case study originated from my desire to ensure that disadvantaged members of this society have equal access to quality health care services. I am extremely grateful for Dr. Beth Whitted whose willingness made the completion of this project possible. Dr. Patricia D’Urso also generously shared her time and expertise to assist me with improving my work.