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Dublin Core
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Title
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April 2020 List
Text
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Citation List Month
April 2020 List
URL Address
<a href="http://doi.org/10.3399/bjgp20X708233" target="_blank" rel="noreferrer noopener">http://doi.org/10.3399/bjgp20X708233</a>
Dublin Core
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Title
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GPs' role in caring for children and young people with life-limiting conditions: a retrospective cohort study
Publisher
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The British journal of general practice : the journal of the Royal College of General Practitioners.
Date
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2020
Subject
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accident; adult; article; attention; care behavior; child; clinical article; clinical practice; cohort analysis; consultation; England; female; general practice; health care utilization; hospital patient; human; Icd-10; male; patient care; primary health care; Read code; retrospective study; secondary health care
Creator
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Jarvis S; Parslow R C; Hewitt C; Mitchell S; Fraser L K
Description
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Background GPs are rarely actively involved in healthcare provision for children and young people (CYP) with life-limiting conditions (LLCs). This raises problems when these children develop minor illness or require management of other chronic diseases. Aim To investigate the association between GP attendance patterns and hospital urgent and emergency care use. Design and setting Retrospective cohort study using a primary care data source (Clinical Practice Research Datalink) in England. The cohort numbered 19 888. Method CYP aged 0–25 years with an LLC were identified using Read codes (primary care) or International Classification of Diseases 10 th Revision (ICD-10) codes (secondary care). Emergency inpatient admissions and accident and emergency (A&E) attendances were separately analysed using multivariable, two-level random intercept negative binomial models with key variables of consistency and regularity of GP attendances. Results Face-to-face GP surgery consultations reduced, from a mean of 7.12 per person year in 2000 to 4.43 in 2015. Those consulting the GP less regularly had 15% (95% confidence interval [CI] = 10% to 20%) more emergency admissions and 5% more A&E visits (95% CI = 1% to 10%) than those with more regular consultations. CYP who had greater consistency of GP seen had 10% (95% CI = 6% to 14%) fewer A&E attendances but no significant difference in emergency inpatient admissions than those with lower consistency. Conclusion There is an association between GP attendance patterns and use of urgent secondary care for CYP with LLCs, with less regular GP attendance associated with higher urgent secondary healthcare use. This is an important area for further investigation and warrants the attention of policymakers and GPs, as the number of CYP with LLCs living in the community rises.
Identifier
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<a href="http://doi.org/10.3399/bjgp20X708233" target="_blank" rel="noreferrer noopener">10.3399/bjgp20X708233</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2020
accident
Adult
April 2020 List
Article
Attention
care behavior
Child
Clinical Article
Clinical Practice
Cohort Analysis
Consultation
England
Female
Fraser L K
general practice
Health Care Utilization
Hewitt C
Hospital Patient
Human
Icd-10
Jarvis S
Male
Mitchell S
Parslow R C
Patient Care
Primary Health Care
Read code
Retrospective Study
secondary health care
The British journal of general practice : the journal of the Royal College of General Practitioners.