ArticleBMJ open2020
Trends in healthcare use in children aged less than 15 years: a population-based cohort study in England from 2007 to 2017.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed, 72 citations in OpenAlex.
- Video Tutorials to Empower Caregivers of Ill Children and Reduce Health Care Utilization: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Addressing equity through integration of child health services in North West London disadvantaged neighbourhoods: a mixed-methods evaluation.BMJ paediatrics open · 2026Article
- Parental awareness and management of antibiotic side effects and allergies in children and young people: a UK survey.JAC-antimicrobial resistance · 2026Article
- High frequency emergency department use and heterogeneity of reasons for attendance by children and young people: a retrospective cohort study.BMJ paediatrics open · 2026Article
- Strengthening Care for Children Using a Virtual Integrated General Practitioner-Pediatrician Model of Primary Care (SUSTAIN): Protocol for a Stepped Wedge Cluster Randomized Controlled Trial.JMIR research protocols · 2026Article
- Assessing inequalities in paediatric emergency department admissions in the Northwest of England: a retrospective cohort study.BMJ public health · 2026Article
- Effects of a nurse-led mindfulness-based intervention on stress and emotional well-being in hospitalized school-aged children: a mixed-methods quasi-experimental study.BMC pediatrics · 2025Article
- Impact of vaccination on pertussis-related hospital admissions in children in Scotland from January 2013 to July 2024: a cohort study.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025Article
- Digital healthcare interventions to support parents with acutely ill children at home: A systematic review.PLOS digital health · 2025Article
- Quantifying diagnostic intervals and routes to diagnosis for children and young people with cancer in the UK (Childhood Cancer Diagnosis study, CCD): a population-based observational study.The Lancet regional health. Europe · 2025Article
- Primary Care and Linked Secondary Care Encounters for Foot and Ankle Problems in Children and Young People: A Population-Based Cohort Study in England.Journal of foot and ankle research · 2025Article
- Integrating health care and early years support for children and young people living in deprivation: a cost-effectiveness analysis of the Sparkbrook Children's Zone integrated clinic versus usual primary care in Birmingham, UK.BMJ paediatrics open · 2025Article
- Assessing children who are acutely ill in general practice using the National PEWS and LqSOFA clinical scores: a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Identifying children who develop severe chronic kidney disease using primary care records.PloS one · 2025Article
- Supporting infants and parents in the perinatal period (SIPP): Co-creating an improved journey.PloS one · 2025Article
- Temporal trends and practice variation of paediatric diagnostic tests in primary care: retrospective analysis of 14 million tests.Family medicine and community health · 2024Article
- 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
- Utilization of Healthcare Services in Patients with Chronic Diseases under 18 Years Old: Differences and Contributing Factors.Journal of personalized medicine · 2024Article
- Examining the hospital costs of children born into relative deprivation in England.Journal of epidemiology and community health · 2024Article
- Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe changing use of primary care in relation to use of urgent care and planned hospital services by children aged less than 15 years in England in the decade following major primary care reforms from 2007 to 2017
designPopulation-based retrospective cohort study.
methodsWe used linked data from the Clinical Practice Research Datalink to study children's primary care consultations and use of hospital care including emergency department (ED) visits, emergency and elective admissions to hospital and outpatient visits to specialists.
resultsBetween 1 April 2007 and 31 March 2017, there were 7 604 024 general practitioner (GP) consultations, 981 684 ED visits, 287 719 emergency hospital admissions, 2 253 533 outpatient visits and 194 034 elective admissions among 1 484 455 children aged less than 15 years. Age-standardised GP consultation rates fell (-1.0%/year) to 1864 per 1000 child-years in 2017 in all age bands except infants rising by 1%/year to 6722 per 1000/child-years in 2017. ED visit rates increased by 1.6%/year to 369 per 1000 child-years in 2017, with steeper rises of 3.9%/year in infants (780 per 1000 child-years in 2017). Emergency hospital admission rates rose steadily by 3%/year to 86 per 1000 child-years and outpatient visit rates rose to 724 per 1000 child-years in 2017.
conclusionsOver the past decade since National Health Service primary care reforms, GP consultation rates have fallen for all children, except for infants. Children's use of hospital urgent and outpatient care has risen in all ages, especially infants. These changes signify the need for better access and provision of specialist and community-based support for families with young children.
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