Evidence map›Paper›PMID 23294563›Full record

ArticleBMC health services research2013

What aspects of primary care predict emergency admission rates? A cross sectional study.

Stephen Gunther, Nick Taub, Stephen Rogers, Richard Baker

Abstract read
In one paragraph

Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Are more GPs associated with a reduction in emergency hospital admissions? A quantitative study on GP referral in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
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  6. Observational
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  9. Observational
  10. Observational
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  12. Predicting clinical deterioration after initial assessment in out-of-hours primary care: a retrospective service evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
    Article
  13. Emergency hospital admissions for asthma and access to primary care: cross-sectional analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016
    Article
  14. Article
  15. 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 · 2015
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  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Stephen GuntherPublic Health Department, NHS Northamptonshire, Northampton, UK. stephen.gunther@nhs.net
Nick Taub
Stephen Rogers
Richard Baker

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrom 2004 to 2009 there was almost a 12% rise in emergency admissions in England. This can be explained partly by an aging population and other socio-demographic characteristics, but much cannot be explained by these factors. We explored aspects of care, in addition to known demographic characteristics in general practice, that are associated with emergency admissions.

methodsA cross-sectional design employing hospital admission data from 76 general practices in Northamptonshire, England for 2006-08, including demographic data, quality and outcomes framework points and GP patient survey outcomes.

resultsThere were statistically significant associations between emergency admissions and age, gender, distance from hospital and proportion classified as white. There was also a statistically significant relationship between emergency admissions and being able to book an appointment with a preferred doctor; this relationship was stronger in less deprived communities.

conclusionsEnabling patients to book with a preferred doctor, particularly those in less deprived communities could have an impact on reducing emergency admissions. It is possible that being able to consult a preferred GP gives patient's confidence to avoid an emergency admission or it facilitates consistent clinical management that helps prevent the need for admission. However the findings only explained some of the variation.

Indexed as

Patient AdmissionPrimary Health CareAgedConfidence IntervalsCross-Sectional StudiesEmergency Service, HospitalEnglandFemaleForecastingGeneral PracticeHealth Services AccessibilityHumansMaleMiddle AgedModels, StatisticalPoverty Areas

Identifiers

PMID23294563
PMCPMC3547739

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.