EPIDEMIOLOGY OF PEDIATRIC ASTHMA HOSPITALIZATION

最近的研究表明，儿童哮喘入院率各不相同。 广泛分布在各个地理区域，过去在全国范围内有所增加 十年。这个第一个获奖研究计划的总体目标是研究 儿童哮喘可能的三种影响，但尚未得到证实 住院率-诊断替代，不同的系统 医疗护理和哮喘药物的使用。关于以下方面的具体假设 这些因素将在两个不同的数据集中进行测试：(1)生态 流动儿童流动趋势及地区变化的研究 1980-1994年缅因州、新罕布夏州和佛蒙特州(2) 对参加工作人员模范卫生保健组织的儿童进行的回顾性队列分析， 1977-1994年普吉特湾团体卫生合作社。这些研究 将利用有关地区和个人的详细信息 “接触”不同的医疗保健系统和哮喘药物， 控制社会经济地位。这些研究的结果将 与公众的临床护理和发展直接相关 针对哮喘儿童的政策。

Recent research has shown that asthma admission rates for children vary widely across geographic areas and have increased nationally for the past decade. The overall goals of this FIRST award research plan are to study three possible, but yet unproved, influences of pediatric asthma hospitalization rates - diagnostic substitution, different systems of medical care, and asthma medication use. Specific hypotheses regarding these factors will be tested in two different data sets: (1) ecologic studies of trends and area variations of the children residing in the contiguous states of Maine, New Hampshire, and Vermont for 1980 - 1994 (2) retrospective cohort analyses of children enrolled at a staff model HMO, Group Health Cooperative of Puget Sound for 1977 - 1994. These studies will utilized detailed information regarding area and individual "exposure" to differing systems of health care and asthma medications, controlling for socioeconomic status. The results from these studies will have direct relevance to the clinical care and development of public policy for children with asthma.