Ethnic disparities in asthma treatment and outcomes in children aged under 15 years in New Zealand: analysis of national databases

Gillies, Todd D; Tomlin, Andrew; Dovey, Susan; Tilyard, Murray

doi:10.4104/pcrj.2013.00068

Cited by 16 publications

(12 citation statements)

References 16 publications

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“…Gillies et al [ 56 ] defined four asthma treatment groups with a diagnosis of asthma. Three steps were described, adopted from the British Guideline of the Management of Asthma.…”

Section: Resultsmentioning

confidence: 99%

Assessing asthma severity based on claims data: a systematic review

Jacob¹,

Haas²,

Bechtel

et al. 2016

Eur J Health Econ

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IntroductionAsthma is one of the most common chronic diseases in Germany. Substantial economic evaluation of asthma cost requires knowledge of asthma severity, which is in general not part of claims data. Algorithms need to be defined to use this data source.Aims and objectivesThe aim of this study was to systematically review the international literature to identify algorithms for the stratification of asthma patients according to disease severity based on available information in claims data.MethodsA systematic literature review was conducted in September 2015 using the DIMDI SmartSearch, a meta search engine including several databases with a national and international scope, e.g. BIOSIS, MEDLINE, and EMBASE. Claims data based studies that categorize asthma patients according to their disease severity were identified.ResultsThe systematic research yielded 54 publications assessing asthma severity based on claims data. Thirty-nine studies used a standardized algorithm such as HEDIS, Leidy, the GINA based approach or CACQ. Sixteen publications applied a variety of different criteria for the severity categorisation such as asthma diagnoses, asthma-related drug prescriptions, emergency department visits, and hospitalisations.ConclusionThere is no best practice method for the categorisation of asthma severity with claims data. Rather, a combination of algorithms seems to be a pragmatic approach. A transfer to the German context is not entirely possible without considering particular conditions associated with German claims data.

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“…Gillies et al [ 56 ] defined four asthma treatment groups with a diagnosis of asthma. Three steps were described, adopted from the British Guideline of the Management of Asthma.…”

Section: Resultsmentioning

confidence: 99%

Assessing asthma severity based on claims data: a systematic review

Jacob¹,

Haas²,

Bechtel

et al. 2016

Eur J Health Econ

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“…Māori are less likely to receive best practice treatment interventions, across a range of medical specialties. Examples include poor asthma management in Māori children and lower rates of angiography, stenting and coronary artery bypass grafting for Māori presenting with acute coronary syndromes . This phenomenon, known as ‘unequal treatment’, commonly exists on the basis of ethnicity, gender and other socially constructed definitions…”

Section: Introductionmentioning

confidence: 99%

Systematic review of disparities in surgical care for Māori in New Zealand

Rahiri

Alexander

Harwood

et al. 2017

ANZ Journal of Surgery

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Despite the significant variation in the types of diseases, procedures and indicators of surgical care of the included studies, consistent findings are that disparities in different aspects of surgical care exist between Māori and NZE in NZ. This review highlights the need to better quantify the important issue of health equity for Māori in surgery given the lack of studies over the majority of surgical specialties.

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“…inequity in access to medicines exists for māori, 18,19 as does provision of prescription medicines at both primary 17,20 and secondary care levels. 21 metcalfe et al collated evidence of prescription medicines for māori across all medicine groups and found the inequity was so substantive, it became known as the 'missing million prescriptions paper'.…”

Section: Medicines Optimisation For Māorimentioning

confidence: 99%

Pounamu: Achieving health equity in Aotearoa New Zealand: the contribution of medicines optimisation

et al. 2018

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This paper aims to consider the various parts of what is required to achieve the best possible health outcomes from medicines in partnership with the person for whom they are prescribed. Specifically, it looks to highlight the process from an Indigenous view with respect to Māori in Aotearoa New Zealand, and claims a multi-dimensional approach is imperative. Attaining optimal use of medicines is necessary to help achieve health equity. There is an urgent need to understand and investigate models of care that achieve this optimal state.

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Ethnic disparities in asthma treatment and outcomes in children aged under 15 years in New Zealand: analysis of national databases

Abstract: Background: Mãori and Pacific children experience poorer outcomes relating to asthma management than other ethnicities.

Cited by 16 publications

References 16 publications

Assessing asthma severity based on claims data: a systematic review

Assessing asthma severity based on claims data: a systematic review

Systematic review of disparities in surgical care for Māori in New Zealand

Pounamu: Achieving health equity in Aotearoa New Zealand: the contribution of medicines optimisation

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