Childhood asthma in interaction with family, school, and peer systems: a developmental model for primary care

Abstract

The developmental/biopsychosocial approach to primary care of childhood asthma offered in the above model emphasizes four interlocking features: 1. Consideration of the biologic, psychologic, and social aspects of asthma which interact with one another and influence disease management and psychosocial functioning and development of the asthmatic child 2. The importance of balance between disease management and quality of life and developmental needs of the patients and their families 3. Appreciation and facilitation of a developmentally synchronized shift toward self care of the asthma and its social and emotional aspects; 4. Central role played by the primary care provider (or health care team) in integrating developmental/biopsychosocial aspects of comprehensive treatment for childhood asthma.