Mcniece, Rosie and Majeed, Azeem (1999) Socioeconomic differences in general practice consultation rates in patients aged 65 and over: prospective cohort study. British Medical Journal (BMJ), 319(7201), pp. 26-28. ISSN (print) 0959-8138Full text not available from this archive.
OBJECTIVE: To examine socioeconomic differences in general practice consultation rates among patients aged 65 years and over. DESIGN: Secondary analysis of data from the fourth national survey of morbidity in general practice. SETTING: 60 general practices in England and Wales. SUBJECTS: 71 984 people aged 65 years and over. MAIN OUTCOME MEASURES: Annual contact rates and home visiting rates with general practitioners and practice nurses. RESULTS: Social class differences in tact rates were greatest in 65-74 year olds, with rates 23% higher in patients from social class V than in class I (4.82 v 3.93 per person). In 75-84 year olds there was no clear association between social class and contact rates, and in people aged >/=85 years contact rates were highest in patients from class I. Home visiting rates were twice as high in patients from class V as in patients from class I (1.38 v 0.66 per person). Contact rates were 17% higher in people living in communal establishments and 8% higher in those living alone than in those living with others but not in a communal establishment. 66% of contacts with patients in communal establishments and 26% of those with patients living alone were in patients' homes compared with 18% with those living in standard accommodation. These differences persisted after adjustment in a generalised linear model. CONCLUSIONS: Elderly people show socioeconomic differences in consultation rates. The extra workload generated by elderly people living alone and in communal establishments suggests additional payments to general practitioners are needed.
|Uncontrolled Keywords:||elderly people, care, practitioners, health, inequalities|
|Research Area:||Nursing and midwifery
Allied health professions and studies
|Faculty, School or Research Centre:||Faculty of Computing, Information Systems and Mathematics (until 2011)|
|Depositing User:||Automatic Import Agent|
|Date Deposited:||16 Mar 2010 11:57|
|Last Modified:||25 Nov 2011 10:52|
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