Factors associated with consultation rates in general practice in England, 2013-14
<h4>Background</h4> <p>Workload in general practice has risen during the last decade, but the factors associated with this increase are unclear.</p> <h4>Aim</h4> <p>To examine factors associated with consultation rates in general practice.</p> <h4&...
| Main Authors: | , , , , , , |
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| Format: | Journal article |
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Royal College of General Practitioners
2018
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| _version_ | 1797096838688407552 |
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| author | Mukhtar, T Bankhead, C Stevens, S Perera, R Holt, T Salisbury, C Hobbs, F |
| author_facet | Mukhtar, T Bankhead, C Stevens, S Perera, R Holt, T Salisbury, C Hobbs, F |
| author_sort | Mukhtar, T |
| collection | OXFORD |
| description | <h4>Background</h4> <p>Workload in general practice has risen during the last decade, but the factors associated with this increase are unclear.</p> <h4>Aim</h4> <p>To examine factors associated with consultation rates in general practice.</p> <h4>Design and setting</h4> <p>A cross-sectional study. A sample of 304,937 patients registered at 316 English practices between 2013 and 2014 was drawn from the Clinical Practice Research Datalink. </p> <h4>Method</h4> <p>We linked age, sex, ethnicity, smoking status, and deprivation measures with practice level data on staffing, rurality, training practice status, and Quality and Outcomes Framework performance. We conducted multilevel analyses of patient consultation rates.</p> <h4>Results</h4> <p>Consultations were grouped into three types: General practitioner or nurse (All), general practitioner (GP), and nurse. Non-smokers consulted less than current smokers (All: RR=0.88, 95% CI: 0.87 to 0.89; GP: 0.88 [0.87 to 0.89]; nurse: 0.91 [0.90 to 0.92]. Consultation rates were higher for those in the most deprived quintile compared to the least deprived quintile (All: 1.18 [1.16 to 1.19]; GP: 1.17 [1.15 to 1.19]; nurse: 1.13 [1.11 to 1.15]. For all three consultation types, consultation rates increased with age, female sex, and varied by ethnicity. Rates in practices with between >8 and <=19 full time equivalent (FTE) GPs were higher compared to those with <=2 FTE GPs (All: 1.26 [1.06 to 1.49]; GP: 1.36 [1.19 to 1.56]).</p> <h4>Conclusions</h4> <p>Our analyses show consistent trends in factors related to consultation rates in general practice across three types of consultation. These data can be used inform the development of more sophisticated staffing models, and resource allocation formulae.</p> |
| first_indexed | 2024-03-07T04:47:14Z |
| format | Journal article |
| id | oxford-uuid:d3b48a36-d5bf-4850-b347-040e89a387ee |
| institution | University of Oxford |
| last_indexed | 2024-03-07T04:47:14Z |
| publishDate | 2018 |
| publisher | Royal College of General Practitioners |
| record_format | dspace |
| spelling | oxford-uuid:d3b48a36-d5bf-4850-b347-040e89a387ee2022-03-27T08:13:15ZFactors associated with consultation rates in general practice in England, 2013-14Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d3b48a36-d5bf-4850-b347-040e89a387eeSymplectic Elements at OxfordRoyal College of General Practitioners2018Mukhtar, TBankhead, CStevens, SPerera, RHolt, TSalisbury, CHobbs, F <h4>Background</h4> <p>Workload in general practice has risen during the last decade, but the factors associated with this increase are unclear.</p> <h4>Aim</h4> <p>To examine factors associated with consultation rates in general practice.</p> <h4>Design and setting</h4> <p>A cross-sectional study. A sample of 304,937 patients registered at 316 English practices between 2013 and 2014 was drawn from the Clinical Practice Research Datalink. </p> <h4>Method</h4> <p>We linked age, sex, ethnicity, smoking status, and deprivation measures with practice level data on staffing, rurality, training practice status, and Quality and Outcomes Framework performance. We conducted multilevel analyses of patient consultation rates.</p> <h4>Results</h4> <p>Consultations were grouped into three types: General practitioner or nurse (All), general practitioner (GP), and nurse. Non-smokers consulted less than current smokers (All: RR=0.88, 95% CI: 0.87 to 0.89; GP: 0.88 [0.87 to 0.89]; nurse: 0.91 [0.90 to 0.92]. Consultation rates were higher for those in the most deprived quintile compared to the least deprived quintile (All: 1.18 [1.16 to 1.19]; GP: 1.17 [1.15 to 1.19]; nurse: 1.13 [1.11 to 1.15]. For all three consultation types, consultation rates increased with age, female sex, and varied by ethnicity. Rates in practices with between >8 and <=19 full time equivalent (FTE) GPs were higher compared to those with <=2 FTE GPs (All: 1.26 [1.06 to 1.49]; GP: 1.36 [1.19 to 1.56]).</p> <h4>Conclusions</h4> <p>Our analyses show consistent trends in factors related to consultation rates in general practice across three types of consultation. These data can be used inform the development of more sophisticated staffing models, and resource allocation formulae.</p> |
| spellingShingle | Mukhtar, T Bankhead, C Stevens, S Perera, R Holt, T Salisbury, C Hobbs, F Factors associated with consultation rates in general practice in England, 2013-14 |
| title | Factors associated with consultation rates in general practice in England, 2013-14 |
| title_full | Factors associated with consultation rates in general practice in England, 2013-14 |
| title_fullStr | Factors associated with consultation rates in general practice in England, 2013-14 |
| title_full_unstemmed | Factors associated with consultation rates in general practice in England, 2013-14 |
| title_short | Factors associated with consultation rates in general practice in England, 2013-14 |
| title_sort | factors associated with consultation rates in general practice in england 2013 14 |
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