The study put light on the fact that parents of black asthmatic children rate the involved doctor lower than their white counterparts.

It was discovered that parents of asthmatic children who did not administer prescribed medication to children were known to have an existing war of words and ideology with the doctors, as per Kathryn L. Moseley, M.D., an assistant professor of pediatrics at the U-M Medical School.

From News-Medical.Net:

For the parents who did not give the medications as prescribed, we found specific characteristics of their experience with the doctor that were associated with less adherence,” says Kathryn L. Moseley, M.D., an assistant professor of pediatrics at the U-M Medical School.

The U-M results suggest that improved physicians’ relationships with these parents could help reduce the frequency of asthma attacks and hospitalizations among minority children.

One way to improve parents’ trust and confidence is for clinics to make sure that parents with children who have persistent asthma see the same doctor each time if possible, Moseley says. During office visits, doctors could make sure that parents feel that their questions and concerns are fully addressed, says Moseley. The study, which appears in the May issue of the Journal of the National Medical Association, also shows that parents who are not adhering to asthma treatments are in many cases not getting flu shots for their children.

Children who don’t get regular steroid inhaler treatments for their asthma are at higher risk of complications from influenza. So there’s an added reason for physicians to work to increase rapport with minority parents.

Insurers as well as physicians may want to act on the study results. Some insurers target messages to their clients to encourage better preventive care to save costs, Moseley says.

“They might want to create specific interventions to encourage parents to get flu shots for their children and also ask, ‘Any problems with giving the inhaler doses?’”

Study details Moseley and her colleagues interviewed 282 parents of children aged 2 through 12 who had asthma-related physician visits in 2004 and 2005. Parents were asked about their children’s use of steroid inhalers and about vaccination against influenza. The researchers also adapted a well-known questionnaire, the Primary Care Assessment Survey, to measure parents’ perceptions about their encounters with their child’s physician.

Black parents in the survey did not have some of the common obstacles to regular asthma care, such as lack of insurance or a family doctor.

The involved researchers of this study remarked that a better doctor-parent relationship can go a long way in treatment of asthma and reducing hospitalization among the minority child group.