Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.

<h4>Background</h4>The number of visits to hospital emergency departments (EDs) in England has increased by 20% since 2007-08, placing unsustainable pressure on the National Health Service (NHS). Some patients attend EDs because they are unable to access primary care services. This study...

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Autores principales:	Thomas E Cowling, Elizabeth V Cecil, Michael A Soljak, John Tayu Lee, Christopher Millett, Azeem Majeed, Robert M Wachter, Matthew J Harris
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/19ff436294cd47b8add52cb4e34ebdf3
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spelling	oai:doaj.org-article:19ff436294cd47b8add52cb4e34ebdf32021-11-18T07:42:00ZAccess to primary care and visits to emergency departments in England: a cross-sectional, population-based study.1932-620310.1371/journal.pone.0066699https://doaj.org/article/19ff436294cd47b8add52cb4e34ebdf32013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23776694/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The number of visits to hospital emergency departments (EDs) in England has increased by 20% since 2007-08, placing unsustainable pressure on the National Health Service (NHS). Some patients attend EDs because they are unable to access primary care services. This study examined the association between access to primary care and ED visits in England.<h4>Methods</h4>A cross-sectional, population-based analysis of patients registered with 7,856 general practices in England was conducted, for the time period April 2010 to March 2011. The outcome measure was the number of self-referred discharged ED visits by the registered population of a general practice. The predictor variables were measures of patient-reported access to general practice services; these were entered into a negative binomial regression model with variables to control for the characteristics of patient populations, supply of general practitioners and travel times to health services. MAIN RESULT AND CONCLUSION: General practices providing more timely access to primary care had fewer self-referred discharged ED visits per registered patient (for the most accessible quintile of practices, RR = 0.898; P<0.001). Policy makers should consider improving timely access to primary care when developing plans to reduce ED utilisation.Thomas E CowlingElizabeth V CecilMichael A SoljakJohn Tayu LeeChristopher MillettAzeem MajeedRobert M WachterMatthew J HarrisPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 6, p e66699 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Thomas E Cowling Elizabeth V Cecil Michael A Soljak John Tayu Lee Christopher Millett Azeem Majeed Robert M Wachter Matthew J Harris Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.
description	<h4>Background</h4>The number of visits to hospital emergency departments (EDs) in England has increased by 20% since 2007-08, placing unsustainable pressure on the National Health Service (NHS). Some patients attend EDs because they are unable to access primary care services. This study examined the association between access to primary care and ED visits in England.<h4>Methods</h4>A cross-sectional, population-based analysis of patients registered with 7,856 general practices in England was conducted, for the time period April 2010 to March 2011. The outcome measure was the number of self-referred discharged ED visits by the registered population of a general practice. The predictor variables were measures of patient-reported access to general practice services; these were entered into a negative binomial regression model with variables to control for the characteristics of patient populations, supply of general practitioners and travel times to health services. MAIN RESULT AND CONCLUSION: General practices providing more timely access to primary care had fewer self-referred discharged ED visits per registered patient (for the most accessible quintile of practices, RR = 0.898; P<0.001). Policy makers should consider improving timely access to primary care when developing plans to reduce ED utilisation.
format	article
author	Thomas E Cowling Elizabeth V Cecil Michael A Soljak John Tayu Lee Christopher Millett Azeem Majeed Robert M Wachter Matthew J Harris
author_facet	Thomas E Cowling Elizabeth V Cecil Michael A Soljak John Tayu Lee Christopher Millett Azeem Majeed Robert M Wachter Matthew J Harris
author_sort	Thomas E Cowling
title	Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.
title_short	Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.
title_full	Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.
title_fullStr	Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.
title_full_unstemmed	Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.
title_sort	access to primary care and visits to emergency departments in england: a cross-sectional, population-based study.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/19ff436294cd47b8add52cb4e34ebdf3
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Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.

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