Patient consultation rate and clinical and NHS outcomes: a cross-sectional analysis of English primary care data from 2.7 million patients in 238 practices.

ABSTRACT:

Background

Primary care workload is high and increasing in the United Kingdom. We sought to examine the association between rates of primary care consultation and outcomes in England.

Methods

Cross sectional observational study of routine electronic health care records in 283 practices from the Clinical Practice Research Datalink from April 2013 to March 2014. Outcomes included mortality rate, hospital admission rate, Quality and Outcomes Framework (QOF) performance and patient satisfaction. Relationships between consultation rates (with a general practitioner (GP) or nurse) and outcomes were investigated using negative binomial and ordinal logistic regression models.

Results

Rates of GP and nurse consultation (per patient person-year) were not associated with mortali

SUBMITTER: Lay-Flurrie S 

PROVIDER: S-EPMC6451312 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature