Admission rates for asthma in 1991-2 were 80-100% above national averages for all age groups in east London. We have shown in east London general practices that a higher ratio of prophylaxis to broncho-dilator prescribing occurs in training practices and those approved for health promotion band 3 and asthma surveillance. We have also explored the relation of appropriate prescribing for asthma to other local practice characteristics. We investigated excessive asthma admission rates in patients from these practices by studying the relation between asthma prescribing and admissions.
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