Primary Care Access, Emergency Department Visits, and Unplanned Short Hospitalizations in the UK

Pediatrics
Elizabeth CecilSonia Saxena

Abstract

Demand for unplanned hospital services is rising, and children are frequent users, especially where access to primary care is poor. In England, universal health care coverage entitles parents to see a general practitioner (GP) for first-contact care. However, access to GP appointments is variable, and few patients can see their own regular GP out of hours (OOH). The goal of this study explored the association between access to GPs , emergency department (ED) visits and short hospitalizations (<2 days) in children in England. ED visit and short hospitalization rates were investigated in 9.5 million children aged <15 years registered with English family practices between April 2011 and March 2012 by using administrative hospital data. Six access categories ranked all practices according to patients' reported ability to schedule GP appointments; from national GP Patient Survey data. GP consulting hours were 8:00 am to 6:30 pm on weekdays. There were 3 074 616 ED visits (56% OOH) and 470 752 short hospitalizations over the 12 months studied. Children registered with practices in the highest access group compared with the lowest were 9% less likely to visit an ED (adjusted rate ratio: 0.91 [95% confidence interval: 0.89-93]), partic...Continue Reading

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Citations

Apr 6, 2016·Frontiers in Pediatrics·Elke JeschkeUNKNOWN Routine Data-Based Quality Improvement Panel
Nov 17, 2016·Revista da Associação Médica Brasileira·Ana Paula Scoleze Ferrer, Sandra Josefina Ferraz Ellero Grisi
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Mar 10, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Catia NicodemoFd Richard Hobbs
May 23, 2021·Social Science & Medicine·Thérèse McDonnellEilish McAuliffe
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Jul 7, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Ciara ConlonEilish McAuliffe
Dec 4, 2021·Archives of Disease in Childhood·Elizabeth Cecil

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