Article Figures & Data
Tables
- Table 1
Distribution of access, population and underlying ill-health characteristics in GP patient populations in Brent
Characteristic Mean SD n List size 5349.8 3098.96 68 Emergency department attendances per thousand GP-registered patients (2007–2008) 205.3 67.91 68 Emergency department attendances per thousand GP-registered patients (2008–2009) 184.1 70.18 68 Emergency department attendances per thousand GP-registered patients (2007–2009) 194.7 67.49 68 Total opening hours per week per 1000 patients 9.0 5.00 66 Total whole-time equivalents per 1000 patients 0.50 0.15 67 Satisfied with the GP practice, % 82.8 (8.03 68 Able to get through to the GP practice on the telephone, % 65.2 15.42 68 Able to speak to a GP, % 24.1 13.11 68 Able to get an appointment fairly quickly, % 77.4 13.33 68 Able to book ahead, % 70.2 14.02 68 Satisfied with the opening hours, % 75.5 8.28 68 Desire more opening hours, % 66.5 7.37 68 Felt out-of-hours care took a long time, % 35.9 12.7 67 Felt that the out-of-hours GP service was good, % 50.2 11.1 67 Able to see a preferred GP, % 60.5 13.82 68 Had to wait a long time at the GP practice, % 42.5 13.92 68 Registered population that live within 1 km from the GP practice, % 63.2 13.57 68 Male, % 47.8 3.62 68 On GP register and aged >65 years, % 10.4 4.13 68 On GP register and who are white, % 72.9 6.97 67 Standardised mortality ratio 87.8 13.71 68 Registered population receiving incapacity benefits, % 7.1 1.8 68 Registered lone-parent households, % 8.2 2.7 68 On GP register and in a lone-pensioner household, % 10.5 1.06 68 Index of Multiple Deprivation 29.6 7.62 68 SD = standard deviation.
- Table 2
Simple linear regression analysis for GP access, population characteristics, and underlying ill-health against avoidable emergency department attendances across three time periods
2007–2008 2008–2009 2007–2009 Variable Beta 95% CI Beta 95% CI Beta 95% CI Total opening hours per week per 1000 patientsa 0.296 −20.34 to 0.615 0.318 −10.127 to 0.647 0.307 −0.975 to 0.623 Total whole-time equivalents per 1000 patientsa 0.473 −0.63 to 10.57 0.312 −0.826 to 10.45 0.393 −0.700 to 10.48 Satisfied with the GP practiceb, % 0.130 −10.95 to 20.21 0.332 −10.81 to 20.48 0.231 −10.83 to 20.30 Able to get through to the GP practice on the telephoneb, % −0.182 −10.26 to 0.899 −0.257 −10.37 to 0.859 −0.220 −10.29 to 0.855 Able to speak to a GPb, % −0.519 −10.78 to 0.748 −0.452 −10.76 to 0.859 −0.485 −10.75 to 0.774 Able to get an appointment fairly quicklyb, % −0.690 −10.93 to 0.550 −10.11 −20.38 to 0.152 −0.902 −20.13 to 0.323 Able to book aheadb, % −0.218 −10.40 to 0.971 −0.084 −10.31 to 10.15 −0.151 −10.33 to 10.03 Satisfied with the opening hoursb, % 10.06 −0.929 to 30.07 10.08 −0.981 to 30.15 10.07 −0.908 to 30.06 Desired more opening hoursb, % −0.277 −20.54 to 10.98 −0.404 −20.74 to 10.93 −0.341 −20.58 to 10.91 Felt out-of-hours care took a long timeb, % −0.497 −10.82 to 0.822 −0.665 −20.02 to 0.694 −0.581 −10.89 to 0.727 Felt that the out-of-hours GP service was goodb, % 0.534 −0.976 to 20.04 10.05 −0.494 to 20.59 0.792 −0.701 to 20.29 Able to see a preferred GPb, % −0.459 −10.66 to 0.744 −0.798 −20.03 to 0.435 −0.629 −10.819 to 0.562 Had to wait a long time at the GP practiceb, % 0.389 −0.807 to 10.58 0.514 −0.719 to 10.75 0.451 −0.735 to 10.64 Registered population that live within 1 km from the GP practicea, % −0.453 −10.67 to 0.772 −0.145 −10.42 to 10.13 −0.299 −10.52 to 0.921 Malec, % 10.31 −30.29 to 50.91 0.809 −30.95 to 50.57 10.06 −30.51 to 50.63 On GP register and aged >65 yearsc, % −0.377 −40.42 to 30.66 −20.37 −60.50 to 10.77 −10.37 −50.38 to 20.63 On GP register and whitec, % 20.40 0.057 to 40.74 10.74 −0.714 to 40.19 20.07 −0.272 to 40.41 Standardised Mortality Ratioc 20.12 10.02 to 30.22 20.19 10.06 to 30.33 20.16 10.07 to 30.25 Registered population receiving incapacity benefitsc, % 200.68 120.95 to 280.42 270.10 200.24 to 330.97 230.89 160.81 to 300.98 Registered lone-parent householdsc, % 150.12 100.19 to 200.05 180.37 130.86 to 220.87 160.74 120.19 to 210.29 On GP register and in a lone-pensioner householdc, % −0.524 −160.22 to 150.17 −30.55 −190.74 to 120.64 −20.04 −170.6 to 130.55 Index of Multiple Deprivationc 50.35 30.59 to 70.10 60.91 50.42 to 80.41 60.13 40.56 to 70.70 - Table 3
Multiple linear regression models with explanatory power over emergency department utilisation
Model and period 1 (2007–2008) 2 (2008–2009) 3 (2007–2009) Registered lone-parent households, % 15.12 – – Index of Multiple Deprivation – 14.74 6.128 On incapacity benefits, – –33.84 – Constant 82.08 –12.43 13.478 P-value 0.000 0.043 0.000 R 0.602 0.772 0.692 R2 0.362 0.596 0.479
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British Journal of General Practice
Primary care access and its relationship with emergency department utilisation: an observational, cross-sectional, ecological study
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