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    Qualitative Study of Practices and Challenges of Stepping Down Asthma Medication in Primary Care Across the UK by Bloom CI, Ramsey H, Alter M, Lakhani S, Wong E, Hickman K, Elkin SL, Majeed A, El-Osta A

    Published 2020-10-01
    “…Chloe I Bloom,1 Helen Ramsey,2 Marsha Alter,3 Shivali Lakhani,3 Ernie Wong,4 Katharine Hickman,5 Sarah L Elkin,4 Azeem Majeed6 *,* Austen El-Osta6,7 ** 1Airways Disease Section, National Heart and Lung Institute, Imperial College London, London, UK; 2Kent and Medway CCG, Swanscombe and Bean Partnership, Swanscombe Kent, UK; 3Middlesex Pharmaceutical Group of LPCs & Community Pharmacy Research Champion NIHR NWL CRN, London, UK; 4Department of Respiratory Medicine, Imperial College Healthcare Trust, London, UK; 5West Yorkshire & Harrogate Health and Care Partnership, Low Moor Medical Practice, West Yorkshire, UK; 6Department of Primary Care & Public Health School of Public Health, Imperial College London, London, UK; 7Self-Care Academic Research Unit (SCARU) Department of Primary Care & Public Health School of Public Health, Imperial College London, London, UK*These authors report no conflicts of interest in this workCorrespondence: Chloe I BloomAirways Disease Section, National Heart and Lung Institute, Imperial College London, London, UKEmail chloe.bloom06@imperial.ac.ukBackground: Guidelines recommend that asthma treatment should be stepped down to the minimally effective dose that achieves symptom control to prevent medication side effects and reduce unnecessary costs. …”
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