1. Variation in asthma care at hospital discharge by race/ethnicity groups
- Author
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Carlos A. Camargo, Kohei Hasegawa, Jane C. Bittner, Sima K. Ramratnam, and Stacy A. Trent
- Subjects
Adult ,Male ,Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Pediatrics ,Adolescent ,Referral ,Ethnic group ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Patient Education as Topic ,Ethnicity ,medicine ,Humans ,Immunology and Allergy ,Anti-Asthmatic Agents ,030212 general & internal medicine ,Healthcare Disparities ,Medical prescription ,Child ,Glucocorticoids ,Referral and Consultation ,Generalized estimating equation ,Retrospective Studies ,Asthma ,business.industry ,Medical record ,Age Factors ,Retrospective cohort study ,Secondary data ,Middle Aged ,medicine.disease ,Patient Discharge ,respiratory tract diseases ,Socioeconomic Factors ,030228 respiratory system ,Child, Preschool ,Family medicine ,Practice Guidelines as Topic ,Pediatrics, Perinatology and Child Health ,Female ,Guideline Adherence ,business - Abstract
Objective: While asthma disproportionately affects minorities, little is known about racial/ethnic differences in asthma care at hospital discharge. Methods: Secondary data analysis of multicenter retrospective study using standardized medical record review. A random sample of patients aged 2–54 years, who were hospitalized for asthma at 25 hospitals from 2012 to 2013 was analyzed. We categorized patients into three race/ethnicity groups: non-Hispanic white (NHW), non-Hispanic black (NHB), and Hispanic. Multivariable logistic regression using generalized estimating equations was used to examine the relationship between race/ethnicity and the provision of guideline-concordant asthma care at hospital discharge including: the provision of asthma action plans, provision of new prescription of an inhaled corticosteroid, and referral to an asthma specialist. Results: Nine hundred thirteen patients (39% children, 71% minorities) hospitalized for asthma were included. In adjusted models, NHB children were...
- Published
- 2017