ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2005
The effect of deprivation, age and sex on NHS Direct call rates.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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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.
The trial behind it
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Who cites it
10 citing papers in PubMed, 32 citations in OpenAlex.
- Comparing healthcare needs by language: interpreted Arabic and Somali telehealth calls in two regions of Sweden, 2014-18.European journal of public health · 2024Article
- Does deprivation affect the demand for NHS Direct? Observational study of routine data from Wales.BMJ open · 2019Observational
- Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England.The Journal of infection · 2019Observational
- From denial to awareness: a conceptual model for obtaining equity in healthcare.International journal for equity in health · 2018Article
- Developing and validating a new national remote health advice syndromic surveillance system in England.Journal of public health (Oxford, England) · 2017Article
- Impact of telephone nursing education program for equity in healthcare.International journal for equity in health · 2016Article
- Investigating the public's use of Scotland's primary care telephone advice service (NHS 24): a population-based cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Article
- Exploring the communication between telenurse and caller-a critical discourse analysis.International journal of qualitative studies on health and well-being · 2014Article
- Young people's use of NHS Direct: a national study of symptoms and outcome of calls for children aged 0-15.BMJ open · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of primary care services in the UK is traditionally high in deprived areas. There has been little research into the effect of deprivation on the uptake of NHS Direct, a national nurse-led health helpline.
aimTo explore the impact of deprivation, age and sex on call rates to two NHS Direct sites. DESIGN OF STUDY: Ecological study.
settingWest Yorkshire and West Midlands NHS Direct sites.
methodDetails of NHS Direct calls between July 2001 and January 2002 were linked to electoral wards and the Indices of Multiple Deprivation for 2000. Age-standardised call rates were calculated for five deprivation levels. Using a negative binomial regression model, West Yorkshire call rates were analysed by age group, sex, deprivation level and geographical location. Rates were mapped by ward for West Yorkshire NHS Direct.
resultsSix-monthly call rates were highest for children under 5 years of age (130 per 1000 population). The ratio of female to male calls (all ages) was 1.30 (95% confidence interval [CI] = 1.27 to 1.33), this ratio being highest for the 15-44 year age group (P < 0.001). For both West Yorkshire and West Midlands NHS Direct, call rates (all ages combined) were highest in areas within the middle of the range of deprivation. West Yorkshire call rates about those under 5 years of age were lower in the most deprived areas than in the least deprived areas (< 1 year, P = 0.06; 1-4 years, P = 0.03). For adults aged 15-64 years, call rates were significantly higher in the most deprived areas (P < 0.001).
conclusionThis work supports previous research and shows that overall demand for NHS Direct is highest in areas where deprivation is at or just above the national average. Additionally, this study suggests that the effect of extreme deprivation appears to raise adult call rates but reduce rates of calls about children.
Indexed as
Identifiers
15826436PMC1463131W1516379965What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.