ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018
Factors associated with consultation rates in general practice in England, 2013-2014: a cross-sectional study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- Regional differences in the patient population of general practices in northern Germany: results of a mixed-methods study.BMJ open · 2020Trial
- Coping, Civilian Transition, and Gambling Harm Severity in UK Armed Forces Veterans.Journal of gambling studies · 2026Article
- Local variation in musculoskeletal pain consultation rates in primary care: findings from an ecologic study in Staffordshire.Primary health care research & development · 2025Article
- Primary care in rural areas: a qualitative study on medical students' images and experiences of working in rural areas in southern Germany.BMC primary care · 2024Article
- The true complexities of "standard" family practice visits unmasked: an observational cross-sectional study in Regina.Family practice · 2024Observational
- Trends in clinical workload in UK primary care 2005-2019: a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Understanding access to general practice through the lens of candidacy: a critical review of the literature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Review
- Factors associated with the consultation of GPs among adults aged ≥16 years: an analysis of data from the Health Survey for England 2019.BJGP open · 2023Article
- The coding of telephone consultations in UK primary care databases: are we picking up all the calls?BMC research notes · 2023Article
- Use of health services one year before primary colorectal cancer.BMC health services research · 2023Article
- Ethnic differences in hypertension management, medication use and blood pressure control in UK primary care, 2006-2019: a retrospective cohort study.The Lancet regional health. Europe · 2023Article
- The role of area level social deprivation on childhood and adolescent consultation rate in primary care: a population based, cohort study.BMC primary care · 2022Article
- How do we decarbonise fairly? Emissions, inequities and the implications for net zero healthcare.Journal of the Royal Society of Medicine · 2022Article
- Migrants' primary care utilisation before and during the COVID-19 pandemic in England: An interrupted time series analysis.The Lancet regional health. Europe · 2022Article
- Primary care consultations for respiratory tract symptoms during the COVID-19 pandemic: a cohort study including 70,000 people in South West England.Family practice · 2022Article
- Different definitions of multimorbidity and their effect on prevalence rates: a retrospective study in German general practices.Primary health care research & development · 2022Observational
- Article
- Demographic factors associated with length of stay in hospital and histological diagnosis in adults undergoing appendicectomy.Turkish journal of surgery · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundWorkload in general practice has risen during the last decade, but the factors associated with this increase are unclear.
aimTo examine factors associated with consultation rates in general practice. DESIGN AND
settingA cross-sectional study examining a sample of 304 937 patients registered at 316 English practices between 2013 and 2014, drawn from the Clinical Practice Research Datalink.
methodAge, sex, ethnicity, smoking status, and deprivation measures were linked with practice-level data on staffing, rurality, training practice status, and Quality and Outcomes Framework performance. Multilevel analyses of patient consultation rates were conducted.
resultsConsultations were grouped into three types: all (GP or nurse), GP, and nurse. Non-smokers consulted less than current smokers (all: rate ratio [RR] = 0.88, 95% CI = 0.87 to 0.89; GP: RR = 0.88, 95% CI = 0.87 to 0.89; nurse: RR = 0.91, 95% CI = 0.90 to 0.92). Consultation rates were higher for those in the most deprived quintile compared with the least deprived quintile (all: RR = 1.18, 95% CI = 1.16 to 1.19; GP: RR = 1.17, 95% CI = 1.15 to 1.19; nurse: RR = 1.13, 95% CI = 1.11 to 1.15). For all three consultation types, consultation rates increased with age and female sex, and varied by ethnicity. Rates in practices with >8 and ≤19 full-time equivalent (FTE) GPs were higher compared with those with ≤2 FTE GPs (all: RR = 1.26, 95% CI = 1.06 to 1.49; GP: RR = 1.36, 95% CI = 1.19 to 1.56).
conclusionThe analyses show consistent trends in factors related to consultation rates in general practice across three types of consultation. These data can be used to inform the development of more sophisticated staffing models, and resource allocation formulae.
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