ArticleBMJ (Clinical research ed.)2000
Demand for and supply of out of hours care from general practitioners in England and Scotland: observational study based on routinely collected data.
Article in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
28 citing papers in PubMed.
- Parents' Motivations for Calling an Out-of-Hours Helpline: Qualitative Study.Journal of medical Internet research · 2025Article
- Understanding the demographic and socioeconomic determinants of morbidity in Eastern Uganda: a retrospective analysis of the Iganga-Mayuge health and demographic surveillance data.BMJ public health · 2024Article
- Educational differences in healthcare use among survivors after breast, prostate, lung, and colon cancer - a SEQUEL cohort study.BMC health services research · 2023Article
- Experiences of out-of-hours task-shifting from GPs: a systematic review of qualitative studies.BJGP open · 2021Article
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- Contact characteristics and factors associated with the degree of urgency among older people in emergency primary health care: a cross-sectional study.BMC health services research · 2020Article
- Article
- Preschool children in Danish out-of-hours primary care: a one-year descriptive study of face-to-face consultations.BMC family practice · 2019Article
- The role of health literacy in explaining the association between educational attainment and the use of out-of-hours primary care services in chronically ill people: a survey study.BMC health services research · 2018Article
- Agreement between triage category and patient's perception of priority in emergency departments.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016Article
- To what extent does sociodemographic composition of the neighbourhood explain regional differences in demand of primary out-of-hours care: a multilevel study.BMC family practice · 2015Article
- Drug prescription by telephone consultation in Danish out-of-hours primary care: a population-based study of frequency and associations with clinical severity and diagnosis.BMC family practice · 2014Article
- Walk-ins seeking treatment at an emergency department or general practitioner out-of-hours service: a cross-sectional comparison.BMC health services research · 2011Article
- Out-of-hours care: do we?The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Increasing short-stay unplanned hospital admissions among children in England; time trends analysis '97-'06.PloS one · 2009Article
- Sentinel monitoring of activity of out-of-hours services in Norway in 2007: an observational study.BMC health services research · 2009Article
- Apprehensive parents: a qualitative study of parents seeking immediate primary care for their children.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Utilization of the out of hours service in Poland: an observational study from Krakow.BMC health services research · 2008Article
- Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study.BMJ (Clinical research ed.) · 2008Article
- Does distance matter? Geographical variation in GP out-of-hours service use: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the level of demand and supply of out of hours care from a nationally representative sample of general practice cooperatives.
designObservational study based on routinely collected data on telephone calls, patient population data from general practices, and information about cooperatives from interviews with managers.
setting20 cooperatives in England and Scotland selected after stratification by region and by size. SUBJECTS: 899 657 out of hours telephone calls over 12 months.
main outcome measuresNumbers and age and sex specific rates of calls; variation in demand and activity in relation to characteristics of the population; timing of calls; proportion of patients consulting at home, at a primary care centre, or on the telephone; response times; hospital admission rates.
resultsThe out of hours call rate (excluding bank holidays) was 159 calls per 1000 patients/year, with rates in children aged under 5 years four times higher than for adults. Little variation occurred by day of the week or seasonally. Cooperatives in Scotland experienced higher demand than those in England. Patients living in deprived areas made 70% more calls than those in non-deprived areas, but this had little effect on the overall variation in demand. 45.4% (408 407) of calls were handled by telephone advice, 23.6% (212 550) by a home visit, and 29.8% (267 663) at a centre. Cooperatives responded to 60% of calls within 30 minutes and to 83% within one hour. Hospital admission followed 5.5% (30 743/554 179) of out of hours calls (8 admissions per 1000 patients/year).
conclusionsThis project provides national baseline data for the planning of services and the analysis of future changes.
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