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Research

Access to general practice and visits to accident and emergency departments in England: cross-sectional analysis of a national patient survey

Thomas E Cowling, Matthew J Harris, Hilary C Watt, Daniel C Gibbons and Azeem Majeed
Br J Gen Pract 2014; 64 (624): e434-e439. DOI: https://doi.org/10.3399/bjgp14X680533
Thomas E Cowling
Department of Primary Care and Public Health, Imperial College London, London.
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Matthew J Harris
Department of Primary Care and Public Health, Imperial College London, London.
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Hilary C Watt
Department of Primary Care and Public Health, Imperial College London, London.
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Daniel C Gibbons
Department of Primary Care and Public Health, Imperial College London, London.
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Azeem Majeed
Department of Primary Care and Public Health, Imperial College London, London.
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    Figure 1

    Relative weighted frequencies of responses and branching structure of questions in the GP Patient Survey, 2012–2013.

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    Table 1

    Sensitivity analysis of estimated number of relevant A&E attendances in England in 2012–2013 (millions)

    Estimated number of general practice consultations in England, 2012–2013Ratio of relevant A&E attendances to general practice consultations in GPPS sample, 2012–2013
    X1*0.75 0.01252X1*0.9 0.01503X1 0.01669X1*1.1 0.01836X1*1.25 0.02087
    a303 900 0003.8054.5665.0745.5816.342
    X2345 600 0004.3275.1935.770c6.3477.212
    b387 300 0004.8495.8196.4667.1128.082
    • The unit of the estimates provided is millions of A&E attendances. X1: the bootstrapped mean ratio of relevant A&E attendances to general practice consultations in the GP Patient Survey (GPPS) sample (to 4 significant figures). X2: the estimated number of general practice consultations in England in 2012–2013, based on a simple linear regression of national data for 2000–2001 to 2008–200910 (to 4 significant figures).

    • ↵a The number of general practice consultations previously estimated for England in 2008–2009.11

    • ↵b The number of general practice consultations estimated for 2012–2013 based on a doubling of the difference between 303.9 million and 345.6 million.

    • ↵c 99.9% CI = 5.49 to 6.05 million.

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British Journal of General Practice: 64 (624)
Br J Gen Pract
Vol. 64, Issue 624
July 2014
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Access to general practice and visits to accident and emergency departments in England: cross-sectional analysis of a national patient survey
Thomas E Cowling, Matthew J Harris, Hilary C Watt, Daniel C Gibbons, Azeem Majeed
Br J Gen Pract 2014; 64 (624): e434-e439. DOI: 10.3399/bjgp14X680533

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Access to general practice and visits to accident and emergency departments in England: cross-sectional analysis of a national patient survey
Thomas E Cowling, Matthew J Harris, Hilary C Watt, Daniel C Gibbons, Azeem Majeed
Br J Gen Pract 2014; 64 (624): e434-e439. DOI: 10.3399/bjgp14X680533
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Keywords

  • access to health care
  • emergency departments
  • general practice
  • patient appointments
  • primary health care
  • urgent care

More in this TOC Section

  • Pharmacists’ perceptions of their emerging general practice roles in UK primary care: a qualitative interview study
  • Identifying primary care quality indicators for people with serious mental illness: a systematic review
  • Helpful strategies for GPs seeing patients with medically unexplained physical symptoms: a focus group study
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