Childhood asthma is a major public health problem. It is the leading cause
of childhood hospitalizations and school absences despite recent advances i
n management. Current standards of care call for client education as partne
rs in disease management. In pediatrics, this calls for shared decision mak
ing between health care provider, parent. and child. Traditional care deliv
ery systems often fall short of meeting this standard. This article describ
es a nurse practitioner-run school-based asthma clinic, designed as a pilot
study, to fill these gaps. Characteristics of the community that affected
outcomes are described. Copyright (C) 2000 by W.B. Saunders Company.