ArticleBMJ (Clinical research ed.)1996
Home visiting by general practitioners in England and Wales.
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 26 papers.
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.
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.
Who cites it
26 citing papers in PubMed.
- Sharing Responsibilities within the General Practice Team - A Cross-Sectional Study of Task Delegation in Germany.PloS one · 2016Trial
- Mismatch between registration possibilities and patients' local health needs, a simulated patient survey in the Paris metropolitan area.Human resources for health · 2025Article
- Future-proofing the primary care workforce: A qualitative study of home visits by emergency care practitioners in the UK.The European journal of general practice · 2021Article
- Prospective cohort study on the incidence and risk factors of emergency home visits among Japanese home care patients.Journal of general and family medicine · 2021Article
- 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
- The workload for home visits by German family practitioners: an analysis of regional variation in a cross-sectional study.BMC family practice · 2019Article
- Socioeconomic Differences in and Predictors of Home-Based Palliative Care Health Service Use in Ontario, Canada.International journal of environmental research and public health · 2017Article
- Home visits in primary care: contents and organisation in daily practice. Study protocol of a cross-sectional study.BMJ open · 2016Article
- Medical humanities and medical alterity in fiction and in life.Journal of medical ethics · 2015Article
- Challenges of the Pandemic Response in Primary Care during Pre-Vaccination Period: A Qualitative Study.Israel journal of health policy research · 2015Article
- General practitioners' home visit tendency and readmission-free survival after COPD hospitalisation: a Danish nationwide cohort study.NPJ primary care respiratory medicine · 2014Article
- Gaining information about home visits in primary care: methodological issues from a feasibility study.BMC family practice · 2014Article
- Home visits - central to primary care, tradition or an obligation? A qualitative study.BMC family practice · 2011Article
- Changing patterns of home visiting in general practice: an analysis of electronic medical records.BMC family practice · 2006Article
- An analysis of patient house calls in the area of Attica, Greece.BMC health services research · 2006Article
- The profile of long-term care patients in Al-khobar and dammam, saudi arabia.Journal of family & community medicine · 2006Article
- Home visits by family physicians during the end-of-life: Does patient income or residence play a role?BMC palliative care · 2005Article
- Future of primary healthcare education: current problems and potential solutions.Postgraduate medical journal · 2003Review
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo use data from the fourth national survey of morbidity in general practice to investigate the association between home visiting rates and patients' characteristics.
designSurvey of diagnostic data on all home visits by general practitioners.
setting60 general practices in England and Wales. SUBJECTS: 502 493 patients visited at home between September 1991 and August 1992.
main outcome measuresHome visiting rates per 1000 patient years and home visiting ratios standardised for age and sex.
results10.1% (139 801/1 378 510) of contacts with general practitioners took place in patients' homes. The average annual home visiting rate was 299/1000 patient years. Rates showed a J shaped relation with age and were lowest in people aged 16-24 years (103/1000) and highest in people aged > or = 85 years (3009/1000). 1.3% of patients were visited five or more times and received 39% of visits. Age and sex standardised home visiting ratios increased from 69 (95% confidence interval 68 to 70) in social class I to 129 (128 to 130) in social class V. The commonest diagnostic group was diseases of the respiratory system. In older age groups, diseases of the circulatory system was also a common diagnostic group. Standardised home visiting ratios for the 60 practices in the study varied nearly eightfold, from 28 to 218 (interquartile range 67 to 126).
conclusionsHome visits remain an important component of general practitioners' workload. As well as the strong associations between home visiting rates and patient characteristics, there were also large differences between practices in home visiting rates. A small number of patients received a disproportionately high number of home visits. Further investigation of patients with high home visiting rates may help to explain the large differences in workload between general practices and help in allocation of resources to practices.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.