Clinical workload in UK primary care: a retrospective analysis of 100 million consultations in England, 2007–14

作者: F D Richard Hobbs , Clare Bankhead , Toqir Mukhtar , Sarah Stevens , Rafael Perera-Salazar

DOI: 10.1016/S0140-6736(16)00620-6

关键词: Primary careMedicineGeneral practiceYoung adultFamily medicineHealth policyRetrospective cohort studyHealth careWorkloadRetrospective analysis

摘要: Background Primary care is the main source of health care in many health systems, including the UK National Health Service (NHS), but few objective data exist for the volume and nature of primary care activity. With rising concerns that NHS primary care workload has increased substantially, we aimed to assess the direct clinical workload of general practitioners (GPs) and practice nurses in primary care in the UK. Methods We did a retrospective analysis of GP and nurse consultations of non-temporary patients registered at …

参考文章(7)
John L Campbell, Emily Fletcher, Nicky Britten, Colin Green, Tim A Holt, Valerie Lattimer, David A Richards, Suzanne H Richards, Chris Salisbury, Raff Calitri, Vicky Bowyer, Katherine Chaplin, Rebecca Kandiyali, Jamie Murdoch, Julia Roscoe, Anna Varley, Fiona C Warren, Rod S Taylor, Telephone triage for management of same-day consultation requests in general practice (the ESTEEM trial): a cluster-randomised controlled trial and cost-consequence analysis The Lancet. ,vol. 384, pp. 1859- 1868 ,(2014) , 10.1016/S0140-6736(14)61058-8
Tjeerd Van Staa, Emily Herrett, Arlene M Gallagher, Krishnan Bhaskaran, Harriet Forbes, Rohini Mathur, Tjeerd van Staa, Liam Smeeth, Data Resource Profile: Clinical Practice Research Datalink (CPRD) International Journal of Epidemiology. ,vol. 44, pp. 827- 836 ,(2015) , 10.1093/IJE/DYV098
Rohini Mathur, Krishnan Bhaskaran, Nish Chaturvedi, David A. Leon, Tjeerd vanStaa, Emily Grundy, Liam Smeeth, Completeness and usability of ethnicity data in UK-based primary care and hospital databases Journal of Public Health. ,vol. 36, pp. 684- 692 ,(2014) , 10.1093/PUBMED/FDT116
Toqir K Mukhtar, David RG Yeates, Michael J Goldacre, Breast cancer mortality trends in England and the assessment of the effectiveness of mammography screening: population-based study Journal of the Royal Society of Medicine. ,vol. 106, pp. 234- 242 ,(2013) , 10.1177/0141076813486779
Tim Williams, Tjeerd van Staa, Shivani Puri, Susan Eaton, Recent advances in the utility and use of the General Practice Research Database as an example of a UK Primary Care Data resource Therapeutic advances in drug safety. ,vol. 3, pp. 89- 99 ,(2012) , 10.1177/2042098611435911
Natasha Doran, Fiona Fox, Karen Rodham, Gordon Taylor, Michael Harris, Lost to the NHS: a mixed methods study of why GPs leave practice early in England British Journal of General Practice. ,vol. 66, ,(2016) , 10.3399/BJGP16X683425
Tim A Holt, Emily Fletcher, Fiona Warren, Suzanne Richards, Chris Salisbury, Raff Calitri, Colin Green, Rod Taylor, David A Richards, Anna Varley, John Campbell, Telephone triage systems in UK general practice: Analysis of consultation duration during the index day in a pragmatic randomised controlled trial British Journal of General Practice. ,vol. 66, ,(2016) , 10.3399/BJGP16X684001