Abstract
Background:
South Asian people with asthma have a higher risk of asthma related hospital admission compared with white Europeans. There is no clear evidence of differences in severity or prevalence of asthma, prescribed drugs, asthma education or in the severity of the acute episodes amongst admitted patients in the two ethnic groups. Excess risk is only likely to be in part due to socio-economic status. Difficulties in developing an effective patient-doctor relationship has been suggested as one of the many possible explanatory factors underlying these differences in hospitalisation rates.
Objectives
- To examine concepts of the patient-doctor relationship held by white and south Asian people with asthma
- To identify difficulties and enhancers in the development of patient-doctor relationships
Methods
Qualitative study involving in-depth interviews with patients and doctors recruited from the Chest Clinic, Ealing Hospital, Londonand GPs are recruited from the adjoining area. A literature review and pilot interviews were used to develop the initial topic guide. We plan to purposively sample approximately 20 south Asian and 20 white adults with asthma. We are conducting patient interviews in their preferred language; interviews are taped, translated into English and transcribed. Grounded techniques with deviant case analysis are being used for data analysis.
Progress to date
Pilot interviews have been conducted and the topic guide has been developed. We have to date conducted 10 interviews with data analysis taking place concurrently. We plan to discuss the interim results at the ASM.
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Car, J. Exploring patient-doctor partnership in white European and South Asian adults with asthma: a qualitative interview study. Prim Care Respir J 12, 69 (2003). https://doi.org/10.1038/pcrj.2003.38
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DOI: https://doi.org/10.1038/pcrj.2003.38