ArticleBMJ (Clinical research ed.)2000
Cross sectional study of primary care groups in London: association of measures of socioeconomic and health status with hospital admission rates.
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 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Which features of primary care affect unscheduled secondary care use? A systematic review.BMJ open · 2014Pooled it
- People with epilepsy obtain added value from education in groups: results of a qualitative study.European journal of neurology · 2017Trial
- Randomised controlled trial of structured personal care of type 2 diabetes mellitus.BMJ (Clinical research ed.) · 2001Trial
- Exploring variation in ambulance calls and conveyance rates for adults with diabetes mellitus who contact the Northern Ireland Ambulance Service: a retrospective database analysis.British paramedic journal · 2021Article
- Impact of family physician integrated care program on decreasing utilization of emergency department visit and hospital admission: a population-based retrospective cohort study.BMC health services research · 2020Article
- The relationship between individual-level deprivation and health-related quality of life.Health and quality of life outcomes · 2019Article
- Article
- The expanding burden of idiopathic intracranial hypertension.Eye (London, England) · 2019 · on this mapArticle
- Hospitalisation after birth of infants: cross sectional analysis of potentially avoidable admissions across England using hospital episode statistics.BMC pediatrics · 2018Article
- Article
- Observational
- Are primary care factors associated with hospital episodes for adverse drug reactions? A national observational study.BMJ open · 2015Observational
- Socioeconomic deprivation and accident and emergency attendances: cross-sectional analysis of general practices in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Article
- A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study.BMJ quality & safety · 2014Article
- Impact of deprivation on occurrence, outcomes and health care costs of people with multiple morbidity.Journal of health services research & policy · 2013Article
- Primary care access and its relationship with emergency department utilisation: an observational, cross-sectional, ecological study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- Epilepsy mortality and risk factors for death in epilepsy: a population-based study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2011Article
- No more neurophobia: welcome neurology in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Association between quality of primary care and hospitalization for coronary heart disease in England: national cross-sectional study.Journal of general internal medicine · 2008Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo calculate socioeconomic and health status measures for the primary care groups in London and to examine the association between these measures and hospital admission rates.
designCross sectional study.
setting66 primary care groups in London, total list size 8.0 million people.
main outcome measuresElective and emergency standardised hospital admission ratios; standardised admission rates for diabetes and asthma.
resultsStandardised hospital admission ratios varied from 74 to 116 for total admissions and from 50 to 124 for emergency admissions. Directly standardised admission rates for asthma varied from 152 to 801 per 100 000 (mean 364) and for diabetes from 235 to 1034 per 100 000 (mean 538). There were large differences in the mortality, socioeconomic, and general practice characteristics of the primary care groups. Hospital admission rates were significantly correlated with many of the measures of chronic illness and deprivation. The strongest correlations were with disability living allowance (R=0.64 for total admissions and R=0.62 for emergency admissions, P<0.0001). Practice characteristics were less strongly associated with hospital admission rates.
conclusionsIt is feasible to produce a range of socioeconomic, health status, and practice measures for primary care groups for use in needs assessment and in planning and monitoring health services. These measures show that primary care groups have highly variable patient and practice characteristics and that hospital admission rates are associated with chronic illness and deprivation. These variations will need to be taken into account when assessing performance.
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