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Challenges of using asthma admission rates as a measure of primary care quality in children : An international comparison

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dc.contributor.author Lut, Irina
dc.contributor.author Lewis, Kate
dc.contributor.author Wijlaars, Linda
dc.contributor.author Gilbert, Ruth
dc.contributor.author Fitzpatrick, Tiffany
dc.contributor.author Lu, Hong
dc.contributor.author Guttmann, Astrid
dc.contributor.author Goldfield, Sharon
dc.contributor.author Lei, Shaoke
dc.contributor.author Gunnlaugsson, Geir
dc.contributor.author Hrafn Jónsson, Stefán
dc.contributor.author Mechtler, Reli
dc.contributor.author Gissler, Mika
dc.contributor.author Hjern, Anders
dc.contributor.author Hardelid, Pia
dc.date.accessioned 2021-10-20T01:01:56Z
dc.date.available 2021-10-20T01:01:56Z
dc.date.issued 2021
dc.identifier.citation Lut , I , Lewis , K , Wijlaars , L , Gilbert , R , Fitzpatrick , T , Lu , H , Guttmann , A , Goldfield , S , Lei , S , Gunnlaugsson , G , Hrafn Jónsson , S , Mechtler , R , Gissler , M , Hjern , A & Hardelid , P 2021 , ' Challenges of using asthma admission rates as a measure of primary care quality in children : An international comparison ' , Journal of Health Services Research and Policy . https://doi.org/10.1177/13558196211012732
dc.identifier.issn 1355-8196
dc.identifier.other PURE: 40418174
dc.identifier.other PURE UUID: cec0a3eb-c055-4515-846b-edb4ca628666
dc.identifier.other Scopus: 85111536236
dc.identifier.uri https://hdl.handle.net/20.500.11815/2697
dc.description Publisher Copyright: © The Author(s) 2021.
dc.description.abstract Objectives: To demonstrate the challenges of interpreting cross-country comparisons of paediatric asthma hospital admission rates as an indicator of primary care quality. Methods: We used hospital administrative data from >10 million children aged 6–15 years, resident in Austria, England, Finland, Iceland, Ontario (Canada), Sweden or Victoria (Australia) between 2008 and 2015. Asthma hospital admission and emergency department (ED) attendance rates were compared between countries using Poisson regression models, adjusted for age and sex. Results: Hospital admission rates for asthma per 1000 child-years varied eight-fold across jurisdictions. Admission rates were 3.5 times higher when admissions with asthma recorded as any diagnosis were considered, compared with admissions with asthma as the primary diagnosis. Iceland had the lowest asthma admission rates; however, when ED attendance rates were considered, Sweden had the lowest rate of asthma hospital contacts. Conclusions: The large variations in childhood hospital admission rates for asthma based on the whole child population reflect differing definitions, admission thresholds and underlying disease prevalence rather than primary care quality. Asthma hospital admissions among children diagnosed with asthma is a more meaningful indicator for inter-country comparisons of primary care quality.
dc.format.extent
dc.language.iso en
dc.relation.ispartofseries Journal of Health Services Research and Policy; ()
dc.rights info:eu-repo/semantics/openAccess
dc.subject Barnalækningar
dc.subject Astmi
dc.subject Heilbrigðisþjónusta
dc.subject Asthma
dc.subject paediatrics
dc.subject primary care
dc.subject Health Policy
dc.subject Public Health, Environmental and Occupational Health
dc.title Challenges of using asthma admission rates as a measure of primary care quality in children : An international comparison
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1177/13558196211012732
dc.relation.url http://www.scopus.com/inward/record.url?scp=85111536236&partnerID=8YFLogxK
dc.contributor.department Faculty of Sociology, Anthropology and Folkloristics
dc.contributor.school Social Sciences


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