Abstract：
:In response to the introduction of ethnic monitoring within the U.K. hospital inpatient data set, this study investigates the variations in secondary healthcare utilization by Black and minority ethnic communities whose cause of admission is related to asthma. The study examines all residents of the West Midlands: over 5 million people, of whom 8.5% are from Black and minority ethnic groups. A retrospective study of 15,921 asthma-related hospital admissions, from 1 April 1995 to 31 March 1996, was carried out. Age-standardized admission rates were higher in all Black and minority ethnic groups studied than in the White group. There were elevated rates in Black children aged 5-14 years, and particular differences were observed for Indian and Bangladeshi men and women aged 65 years or over. Emergency admissions to hospital for asthma were strongly associated with patients' socioeconomic background but this was largely observed for Black and minority ethnic groups that also generally experience high levels of deprivation. The findings support previous studies which suggest that hospital utilization rates for asthma among people from Black and minority ethnic groups are high compared with the White group, despite little evidence in measured prevalence. This study suggests that ethnic background is more important in asthma admissions than deprivation, which raises serious concerns on the appropriateness and quality of asthma care for these patient groups within our society. Future studies need to examine pathways to care, that is the health-seeking behaviour of Black and minority ethnic groups, the type of treatment received at the primary care level and referral patterns to secondary care.
journal_name
Respir Medjournal_title
Respiratory medicineauthors
Gilthorpe MS,Lay-Yee R,Wilson RC,Walters S,Griffiths RK,Bedi Rdoi
10.1016/s0954-6111(98)90511-xsubject
Has Abstractpub_date
1998-04-01 00:00:00pages
642-8issue
4eissn
0954-6111issn
1532-3064pii
S0954-6111(98)90511-Xjournal_volume
92pub_type
杂志文章abstract：BACKGROUND:Treatment with an inhaled corticosteroid (ICS) and long-acting bronchodilator is recommended for severe/very severe chronic obstructive pulmonary disease (COPD) patients with repeated exacerbations. This randomized, double-blind, double-dummy, parallel-group, 12-month multicenter study evaluated the effect o...
journal_title：Respiratory medicine
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.rmed.2011.07.020
更新日期：2012-02-01 00:00:00
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journal_title：Respiratory medicine
pub_type： 杂志文章
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pub_type： 杂志文章,评审
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更新日期：2002-08-01 00:00:00
abstract：OBJECTIVES:To assess the utility of capsaicin test in the differential diagnosis of non-productive causes of chronic cough and to examine the effects of treatment on this reflex. PARTICIPANTS:86 healthy volunteers and 101 patients with chronic cough: asthma (n: 54) gastroesophageal reflux (n: 35) and post-nasal drip s...
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pub_type： 临床试验,杂志文章
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更新日期：2003-04-01 00:00:00
abstract：:Rounded atelectasis of the lung (RA) is a lesion well described in the medical literature, yet often very difficult to diagnose. In recent years, the widespread use of high-resolution imaging modalities employed in the struggle against cancer, coinciding with the peak of the asbestos epidemic, have boosted the detecti...
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pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2007-02-01 00:00:00
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journal_title：Respiratory medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2007-06-01 00:00:00
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journal_title：Respiratory medicine
pub_type： 杂志文章
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更新日期：1991-09-01 00:00:00
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pub_type： 杂志文章,随机对照试验
doi：10.1016/j.rmed.2018.02.001
更新日期：2018-03-01 00:00:00
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pub_type： 杂志文章,多中心研究
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更新日期：2008-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.rmed.2012.03.011
更新日期：2012-07-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2017-01-01 00:00:00
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journal_title：Respiratory medicine
pub_type： 杂志文章
doi：10.1016/j.rmed.2004.07.007
更新日期：2005-03-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.rmed.2008.11.004
更新日期：2009-04-01 00:00:00
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pub_type： 杂志文章,多中心研究
doi：10.1016/j.rmed.2013.02.017
更新日期：2013-06-01 00:00:00
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journal_title：Respiratory medicine
pub_type： 杂志文章
doi：10.1016/j.rmed.2017.10.010
更新日期：2017-11-01 00:00:00
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pub_type： 杂志文章
doi：10.1053/rmed.2001.1079
更新日期：2001-06-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2012-02-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2014-10-01 00:00:00
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pub_type： 杂志文章,多中心研究
doi：10.1016/j.rmed.2017.11.018
更新日期：2018-01-01 00:00:00
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pub_type： 杂志文章
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更新日期：2001-04-01 00:00:00
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pub_type： 杂志文章
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更新日期：2005-01-01 00:00:00
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journal_title：Respiratory medicine
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：1999-10-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.rmed.2017.02.020
更新日期：2017-04-01 00:00:00
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doi：10.1016/j.rmed.2008.08.015
更新日期：2008-12-01 00:00:00
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更新日期：2017-03-01 00:00:00
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更新日期：2003-06-01 00:00:00
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pub_type： 杂志文章
doi：10.1053/rmed.2002.1415
更新日期：2003-01-01 00:00:00
abstract：:The principals of rehabilitation medicine are to prevent muscle atrophy and improve mobility. Exacerbations of chronic obstructive pulmonary disease (COPD) are associated with muscle atrophy and yet many patients do not undergo pulmonary rehabilitation until they have been in stable health for some time. We investigat...
journal_title：Respiratory medicine
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.rmed.2005.02.033
更新日期：2005-10-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:We hypothesized that increased pulmonary vascular permeability may play a role in the pathogenesis of an acute exacerbation of the idiopathic interstitial pneumonias (AE-IIPs). Angiopoietin-2 (Ang-2) promotes endothelial activation, destabilization, and inflammation. The purpose of this study w...
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更新日期：2016-08-01 00:00:00
