ArticleBMJ (Clinical research ed.)1996
Socioeconomic determinants of rates of consultation in general practice based on fourth national morbidity survey of general practices.
Article in BMJ (Clinical research ed.), 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.
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Who cites it
71 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of reasons for and against asking patients about their socioeconomic contexts.International journal for equity in health · 2019Pooled it
- Regional differences in the patient population of general practices in northern Germany: results of a mixed-methods study.BMJ open · 2020Trial
- A randomised controlled trial of a lengthened and multi-disciplinary consultation model in a socially deprived community: a study protocol.BMC family practice · 2007Trial
- Modelling consultation rates in infancy: influence of maternal and infant characteristics, feeding type and consultation history.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Trial
- Randomised controlled trial of self management leaflets and booklets for minor illness provided by post.BMJ (Clinical research ed.) · 2001Trial
- 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
- Oral diseases and systemic conditions: correlation analyses from the Colombian national health records between 2016 and 2023.Frontiers in oral health · 2024Article
- 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
- Changes in Barriers That Cause Unmet Healthcare Needs in the Life Cycle of Adulthood and Their Policy Implications: A Need-Selection Model Analysis of the Korea Health Panel Survey Data.Healthcare (Basel, Switzerland) · 2022Article
- 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
- Association of Family Income with Health Indices and Healthcare Utilization in a Large Sample of Residents in Northern Greece.Maedica · 2020Article
- Geographical Accessibility to District Hospitals/Medical Laboratories for Comprehensive Antenatal Point-of-Care Diagnostic Services in the Upper East Region, Ghana.EClinicalMedicine · 2019Article
- Factors associated with consultation rates in general practice in England, 2013-2014: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Knowledge and utilization of sexual and reproductive healthcare services among Thai immigrant women in Sweden.BMC international health and human rights · 2016Article
- Prevalence and Socio-Demographic Determinants of Tobacco, Alcohol, Substance Use and Drug Misuse in General Population in Turkey.Noro psikiyatri arsivi · 2016Article
- The Effects of Job Insecurity on Health Care Utilization: Findings from a Panel of U.S. Workers.Health services research · 2016Article
- The future of life expectancy and life expectancy inequalities in England and Wales: Bayesian spatiotemporal forecasting.Lancet (London, England) · 2015Article
- Is socioeconomic status associated with utilization of health care services in a single-payer universal health care system?International journal for equity in health · 2014Article
- Drugs prescribed by general practitioners according to age, gender and socioeconomic status after adjustment for multimorbidity level.BMC family practice · 2014Article
- The construction of a decision tool to analyse local demand and local supply for GP care using a synthetic estimation model.Human resources for health · 2013Article
11 more citing papers are in PubMed but not listed here.
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify the socioeconomic determinants of consultation rates in general practice.
designAnalysis of data from the fourth national morbidity survey of general practices (MSGP4) including sociodemographic details of individual patients and small area statistics from the 1991 census. Multilevel modelling techniques were used to take account of both individual patient data and small area statistics to relate socioeconomic and health status factors directly to a measure of general practitioner workload.
resultsHigher rates of consultations were found in patients who were classified as permanently sick, unemployed (especially those who became unemployed during the study year), living in rented accommodation, from the Indian subcontinent, living with a spouse or partner (women only), children living with two parents (girls only), and living in urban areas, especially those living relatively near the practice. When characteristics of individual patients are known and controlled for the role of "indices of deprivation" is considerably reduced. The effect of individual sociodemographic characteristics were shown to vary between different areas.
conclusionsDemographic and socioeconomic factors can act as powerful predictors of consultation patterns. Though it will always be necessary to retain some local planning discretion, the sets of coefficients estimated for individual level factors, area level characteristics, and for practice groupings may be sufficient to provide an indicative level of demand for general medical services. Although the problems in using socioeconomic data from individual patients would be substantial, these results are relevant to the development of a resource allocation formula for general practice.
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