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Titolo:
A comparison of asthma-related healthcare use between African-Americans and Caucasians belonging to a Health Maintenance Organization (HMO)
Autore:
Blixen, CE; Havstad, S; Tilley, BC; Zoratti, E;
Indirizzi:
Cleveland Clin Fdn, Dept Nursing Res P32, Cleveland, OH 44195 USA Cleveland Clin Fdn Cleveland OH USA 44195 es P32, Cleveland, OH 44195 USA
Titolo Testata:
JOURNAL OF ASTHMA
fascicolo: 2, volume: 36, anno: 1999,
pagine: 195 - 204
SICI:
0277-0903(1999)36:2<195:ACOAHU>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELF-MANAGEMENT EDUCATION; UNITED-STATES; CHANGING PATTERNS; CONTROLLED TRIAL; ADULT ASTHMA; CHILDREN; PROGRAM; HOSPITALIZATION; PREVALENCE; MORTALITY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
48
Recensione:
Indirizzi per estratti:
Indirizzo: Blixen, CE Cleveland195in Fdn, Dept Nursing Res P32, 9500 Euclid Ave, Cleveland, OH 44 Cleveland Clin Fdn 9500 Euclid Ave Cleveland OH USA 44195 OH 44
Citazione:
C.E. Blixen et al., "A comparison of asthma-related healthcare use between African-Americans and Caucasians belonging to a Health Maintenance Organization (HMO)", J ASTHMA, 36(2), 1999, pp. 195-204

Abstract

The objective of this study was to determine whether racial differences inpatterns of asthma care persist in a healthcare environment when financialbarriers to health care are minimized. The study cohort consisted of African-American (AA) and Caucasian (C) patients, 18-50 years old, enrolled in alarge HMO and hospitalized for asthma in 1993-1995. Baseline and 1-year follow-up data were collected from the HMO computerized database. Of the 193 patients in the cohort, 124 (65.3%) were AA and 67 (34.7%) were C. AAs wereyounger (mean = 36.2, SD = 9.9) than Cs (mean = 39.4, SD = 9.1), had a tower median household income, and made more asthma-related emergency department (ED) visits (45.2%) than Cs (22.4%) during the 1 year after the initial hospitalization (alt p values < 0.001). During the same time period, Cs made more asthma-related primary care (70.2%) and allergy/pulmonary visits (38.8%) than AAs (47.6% and 27%, respectively). Although there were no significant racial differences in the rehospitalization rate, AA Medicaid contractpatients (32%) had more rehospitalizations for asthma than AA regular contract patients (15.8%). These differential patterns in the use of asthma-related healthcare in this study indicate that the provision of health insurance alone is not sufficient to promote optimal levels of asthma management by all beneficiaries. Asthma education programs targeted for low-income AA patients may improve inappropriate healthcare use patterns.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 10:31:46