ArticleBMC family practice2006
Changing patterns of home visiting in general practice: an analysis of electronic medical records.
Article in BMC family practice, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 36 citations in OpenAlex.
- Article
- Impact of the COVID-19 Pandemic on Home Medical Care Utilization in Japan: An Interrupted Time Series Analysis.Journal of general internal medicine · 2024Article
- Home sweet home: GPs' response to an increase in the fee size for home visits.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Overall mortality in older people receiving physician-led home visits: a multicentre prospective study in Japan.Family practice · 2021Article
- GP home visits: essential patient care or disposable relic?The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Barriers to Making House Calls by Primary Care Physicians and Solutions: A Literature Review.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2020Review
- Use of the moving epidemic method (MEM) to assess national surveillance data for respiratory syncytial virus (RSV) in the Netherlands, 2005 to 2017.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019Article
- Article
- General Practitioners' Attitudes towards Essential Competencies in End-of-Life Care: A Cross-Sectional Survey.PloS one · 2017Article
- Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study.BMJ open · 2016Article
- Gaining information about home visits in primary care: methodological issues from a feasibility study.BMC family practice · 2014Article
- Changes in the remuneration system for general practitioners: effects on contact type and consultation length.The European journal of health economics : HEPAC : health economics in prevention and care · 2014Article
- Effect of the delegation of GP-home visits on the development of the number of patients in an ambulatory healthcare centre in Germany.BMC health services research · 2012Article
- Home visits - central to primary care, tradition or an obligation? A qualitative study.BMC family practice · 2011Article
- Pathways into homelessness: recently homeless adults problems and service use before and after becoming homeless in Amsterdam.BMC public health · 2009Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn most European countries and North America the number of home visits carried out by GPs has been decreasing sharply. This has been influenced by non-medical factors such as mobility and pressures on time. The objective of this study was to investigate changes in home visiting rates, looking at the level of diagnoses in 1987 and in 2001.
methodsWe analysed routinely collected data on diagnoses in home visits and surgery consultations from electronic medical records by general practitioners. Data were used from 246,738 contacts among 124,791 patients in 103 practices in 1987, and 77,167 contacts among 58,345 patients in 80 practices in 2001. There were 246 diagnoses used. The main outcome measure was the proportion of home visits per diagnosis in 2001.
resultsWithin the period studied, the proportion of home visits decreased strongly. The size of this decrease varied across diagnoses. The relation between the proportion of home visits for a diagnosis in 1987 and the same proportion in 2001 is curvilinear (J-shaped), indicating that the decrease is weaker at the extreme points and stronger in the middle.
conclusionBy comparison with 1987, the proportion of home visits shows a distinct decline. However, the results show that this decline is not necessarily a problem. The finding that this decline varied mainly between diagnoses for which home visits are not always urgent, shows that medical considerations still play an important role in the decision about whether or not to carry out a home visit.
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