| Title |
Factors associated with consultation rates in general practice in England, 2013–2014: a cross-sectional study
|
|---|---|
| Published in |
British Journal of General Practice, April 2018
|
| DOI | 10.3399/bjgp18x695981 |
| Pubmed ID | |
| Authors |
Toqir K Mukhtar, Clare Bankhead, Sarah Stevens, Rafael Perera, Tim A Holt, Chris Salisbury, Fd Richard Hobbs |
| Abstract |
Workload in general practice has risen during the last decade, but the factors associated with this increase are unclear. To examine factors associated with consultation rates in general practice. A cross-sectional study examining a sample of 304 937 patients registered at 316 English practices between 2013 and 2014, drawn from the Clinical Practice Research Datalink. Age, sex, ethnicity, smoking status, and deprivation measures were linked with practice-level data on staffing, rurality, training practice status, and Quality and Outcomes Framework performance. Multilevel analyses of patient consultation rates were conducted. Consultations were grouped into three types: all (GP or nurse), GP, and nurse. Non-smokers consulted less than current smokers (all: rate ratio [RR] = 0.88, 95% CI = 0.87 to 0.89; GP: RR = 0.88, 95% CI = 0.87 to 0.89; nurse: RR = 0.91, 95% CI = 0.90 to 0.92). Consultation rates were higher for those in the most deprived quintile compared with the least deprived quintile (all: RR = 1.18, 95% CI = 1.16 to 1.19; GP: RR = 1.17, 95% CI = 1.15 to 1.19; nurse: RR = 1.13, 95% CI = 1.11 to 1.15). For all three consultation types, consultation rates increased with age and female sex, and varied by ethnicity. Rates in practices with >8 and ≤19 full-time equivalent (FTE) GPs were higher compared with those with ≤2 FTE GPs (all: RR = 1.26, 95% CI = 1.06 to 1.49; GP: RR = 1.36, 95% CI = 1.19 to 1.56). The analyses show consistent trends in factors related to consultation rates in general practice across three types of consultation. These data can be used to inform the development of more sophisticated staffing models, and resource allocation formulae. |
X Demographics
The data shown below were collected from the profiles of 24 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 16 | 67% |
| United States | 1 | 4% |
| Brazil | 1 | 4% |
| Japan | 1 | 4% |
| Unknown | 5 | 21% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 11 | 46% |
| Scientists | 10 | 42% |
| Science communicators (journalists, bloggers, editors) | 2 | 8% |
| Practitioners (doctors, other healthcare professionals) | 1 | 4% |
Mendeley readers
The data shown below were compiled from readership statistics for 99 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 99 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 25 | 25% |
| Student > Master | 18 | 18% |
| Student > Ph. D. Student | 7 | 7% |
| Other | 5 | 5% |
| Student > Doctoral Student | 5 | 5% |
| Other | 11 | 11% |
| Unknown | 28 | 28% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 27 | 27% |
| Nursing and Health Professions | 13 | 13% |
| Psychology | 5 | 5% |
| Business, Management and Accounting | 3 | 3% |
| Pharmacology, Toxicology and Pharmaceutical Science | 3 | 3% |
| Other | 16 | 16% |
| Unknown | 32 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 23. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 March 2019.
All research outputs
#1,612,234
of 25,364,653 outputs
Outputs from British Journal of General Practice
#771
of 4,706 outputs
Outputs of similar age
#33,671
of 333,263 outputs
Outputs of similar age from British Journal of General Practice
#17
of 111 outputs
Altmetric has tracked 25,364,653 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,706 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.0. This one has done well, scoring higher than 83% of its peers.
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