Primary care access, emergency department visits, and unplanned short hospitalizations in the UK

Pediatrics

Volumn 137, Issue 2, 2016, Pages

  Cecil, Elizabeth ^a   Bottle, Alex ^a   Cowling, Thomas E ^a   Majeed, Azeem ^a   Wolfe, Ingrid ^b   Saxena, Sonia ^a  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

^b KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ARTICLE; CHILD; CONSULTATION; EMERGENCY CARE; EMERGENCY WARD; FEMALE; GENERAL PRACTICE; GENERAL PRACTITIONER; HEALTH CARE ACCESS; HEALTH CARE PRACTICE; HOSPITAL SERVICE; HOSPITALIZATION; HUMAN; INFANT; LENGTH OF STAY; MALE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; UNITED KINGDOM; CROSS-SECTIONAL STUDY; EMERGENCY HEALTH SERVICE; GREAT BRITAIN; HEALTH CARE DELIVERY; NEWBORN; ORGANIZATION AND MANAGEMENT; PRESCHOOL CHILD; PRIMARY HEALTH CARE; REGRESSION ANALYSIS; STATISTICS AND NUMERICAL DATA; UTILIZATION;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; CROSS-SECTIONAL STUDIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; GENERAL PRACTICE; GREAT BRITAIN; HEALTH SERVICES ACCESSIBILITY; HOSPITALIZATION; HUMANS; INFANT; INFANT, NEWBORN; MALE; PRIMARY HEALTH CARE; REGRESSION ANALYSIS;

EID: 84958725886     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2015-1492     Document Type: Article

References (46)

1. Karanikolos M, Mladovsky P, Cylus J, et al. Financial crisis, austerity, and health in Europe. Lancet. 2013;381(9874):1323-1331
2. Moses H III, Matheson DH, Dorsey ER, George BP, Sadoff D, Yoshimura S. The anatomy of health care in the United States. JAMA. 2013;310(18):1947-1963
3. Wolfe I, Thompson M, Gill P, et al. Health services for children in western Europe. Lancet. 2013;381(9873):1224-1234
4. Marshall M. A precious jewel-The role of general practice in the English NHS. N Engl J Med. 2015;372(10):893-897
5. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457-502
6. Cowling TE, Cecil EV, Soljak MA, et al. Access to primary care and visits to emergency departments in England: A cross-sectional, population-based study. PLoS One. 2013;8(6):e66699
7. NHS England. Understanding the new NHS.2014. Available at: www.england. nhs. uk/wp-content/uploads/2014/06/simple-nhs-guide. pdf Accessed August 28, 2015
8. Martin A, Martin C, Martin PB, Martin PA, Green G, Eldridge S. 'Inappropriate' attendance at an accident and emergency department by adults registered in local general practices: how is it related to their use of primary care? J Health Serv Res Policy. 2002;7(3):160-165
9. McHale P, Wood S, Hughes K, Bellis MA, Demnitz U, Wyke S. Who uses emergency departments inappropriately and when-A national cross-sectional study using a monitoring data system. BMC Med. 2013;11:258
10. Saxena S, Bottle A, Gilbert R, Sharland M. Increasing short-stay unplanned hospital admissions among children in England; time trends analysis '97-'06. PLoS One. 2009;4(10):e7484
11. Cecil E, Bottle A, Sharland M, Saxena S. Impact of UK primary care policy reforms on short-stay unplanned hospital admissions for children with primary care-sensitive conditions. Ann Fam Med. 2015;13(3):214-220
12. Gill PJ, Goldacre MJ, Mant D, et al Increase in emergency admissions to hospital for children aged under 15 in England, 1999-2010: national database analysis. Arch Dis Child. 2013;98(5):328-334
13. Torio CM, Elixhauser A, Andrews RM. Trends in potentially preventable hospital admissions among adults and children, 2005-2010: statistical brief #151. Healthcare Cost and Utilization Project (HCUP) Statistical Briefs. Available at: www.ncbi. nlm. nih.gov/pubmed/23678515. Accessed August 28, 2015
14. Agency for Healthcare Research and Quality. Pediatric quality indicators. Available at: www.qualityindicators . ahrq.gov/. Accessed August 28, 2015
15. Health and Social Care Information Centre. Hospital episode statistics. Available at: www.hscic.gov. uk/hes. Accessed August 28, 2015
16. Health and Social Care Information Centre.Attribution Data Set GP-Registered Populations Scaled to ONS Population Estimates-2011. Available at: www.hscic.gov. uk/pubs/gpregpop11. Accessed August 28, 2015
17. Doran T, Fullwood C, Gravelle H, et al. Pay-for-performance programs in family practices in the United Kingdom. N Engl J Med. 2006;355(4):375-384
18. Health and Social Care Information Centre. HES data dictionary. Available at: www.hscic.gov. uk/hesdatadictionary . Accessed August 28, 2015
19. Gnani S, Ramzan F, Ladbrooke T, et al Evaluation of a general practitioner-led urgent care centre in an urban setting: description of service model and plan of analysis. JRSM Short Reports. 2013;4(6):2042533313486263
20. Ashton CM, Del Junco DJ, Souchek J, Wray NP, Mansyur CL. The association between the quality of inpatient care and early readmission: A metaanalysis of the evidence. Med Care. 1997;35(10):1044-1059
21. Health and Social Care Information Centre. NHS outcomes framework indicators. Available at: www.hscic.gov. uk/nhsof. Accessed August 28, 2015
22. Benchimol EI, Smeeth L, Guttmann A, et al; RECORD Working Committee. The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) Statement. PLoS Med. 2015;12(10):e1001885
23. NHS England. The GP Patient Survey. Available at: www.gp-patient. co. uk. Accessed August 28, 2015
24. Campbell J, Smith P, Nissen S, Bower P, Elliott M, Roland M. The GP Patient Survey for use in primary care in the National Health Service in the UK-development and psychometric characteristics. BMC Fam Pract. 2009;10:57
25. Roland M, Elliott M, Lyratzopoulos G, et al. Reliability of patient responses in pay for performance schemes: analysis of national General Practitioner Patient Survey data in England. BMJ. 2009;339:b3851
26. Department for Communities and Local Government. English Index of Multiple Deprivation. Available at: www.gov. uk/government/statistics/english-indicesof-deprivation-2010. Accessed August 28, 2015
27. Dusheiko M, Doran T, Gravelle H, Fullwood C, Roland M. Does higher quality of diabetes management in family practice reduce unplanned hospital admissions? Health Serv Res. 2011;46(1 pt 1):27-46
28. Health and Social Care Information Centre. HES 2011-12 A&E Data Quality Note, 2013
29. Soljak M, Calderon-Larrañaga A, Sharma P, et al Does higher quality primary health care reduce stroke admissions? A national crosssectional study. Br J Gen Pract. 2011;61(593):e801-e807
30. Burns EM, Rigby E, Mamidanna R, et al. Systematic review of discharge coding accuracy. J Public Health (Oxf). 2012;34(1):138-148
31. NHS England. GP Patient Survey. Weighting Strategy for Year 2011-2012. Available at: http://gp-surveyproduction. s3. amazonaws. com/faq/Summary of weighting Strategy for Year 2011-2012.pdf . Accessed August 28, 2015
32. Saxena S, Eliahoo J, Majeed A. Socioeconomic and ethnic group differences in self reported health status and use of health services by children and young people in England: cross sectional study. BMJ. 2002;325(7363):520
33. Baker R, Bankart MJ, Rashid A, et al. Characteristics of general practices associated with emergencydepartment attendance rates: A cross-sectional study. BMJ Qual Saf. 2011;20(11):953-958
34. Guttmann A, Shipman SA, Lam K, Goodman DC, Stukel TA. Primary care physician supply and children's health care use, access, and outcomes: findings from Canada. Pediatrics. 2010;125(6):1119-1126
35. Harris MJ, Patel B, Bowen S. Primary care access and its relationship with emergency department utilisation: an observational, cross-sectional, ecological study. Br J Gen Pract. 2011;61(593):e787-e793
36. Bottle A, Tsang C, Parsons C, Majeed A, Soljak M, Aylin P. Association between patient and general practice characteristics and unplanned first-time admissions for cancer: observational study. Br J Cancer. 2012;107(8):1213-1219
37. Calderón-Larrañaga A, Carney L, Soljak M, et al. Association of population and primary healthcare factors with hospital admission rates for chronic obstructive pulmonary disease in England: national cross-sectional study [published correction appears in Thorax. 2013;68(8):781]. Thorax. 2011;66(3):191-196
38. Rt. Hon. Jeremy Hunt's 'New Deal for General Practice', Nelson Medical Practice, London. 19 June 2015. Available at:: www.gov. uk/government/speeches/new-deal-for-generalpractice. Accessed August 28, 2015
39. Cowling TE, Harris MJ, Majeed A. Evidence and rhetoric about access to UK primary care. BMJ. 2015;350:h1513
40. Majeed A. General practice in the United Kingdom: meeting the challenges of the early 21st century. J R Soc Med. 2013;106(10):384-385
41. Campbell SM, Roland MO, Buetow SA. Defining quality of care. Soc Sci Med. 2000;51(11):1611-1625
42. Roland M, Paddison C. Better management of patients with multimorbidity. BMJ. 2013;346:f2510
43. Royal College of General Practitioners. Patient Access to General Practice: Ideas and Challenges From the Front Line. 2015. Available at: www.rcgp.org. uk/policy/-/media/Files/Policy/A-Z-policy/Patient-access-to-general-practice-2015. ashx. Accessed August 28, 2015
44. National Health Service. Not always A&E. Available at: www.notalwaysaande. co. uk/. Accessed August 28, 2015
45. Kyle RG, Banks M, Kirk S, Powell P, Callery P. Avoiding inappropriate paediatric admission: facilitating general practitioner referral to community children's nursing teams. BMC Fam Pract. 2013;14:4
46. Altogether Better. Practice health champions. Available at: www.altogetherbetter.org. uk/practicehealth-champions. Accessed August 28, 2015