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  1. Home visiting by general practitioners in England and Wales.

    Article - En anglais

    Objective

    To use data from the fourth national survey of morbidity in general practice to investigate the association between home visiting rates and patients'characteristics.

    Design-Survey of diagnostic data on all home visits by general practitioners.

    Setting-60 general practices in England and Wales.

    Subjects-502 493 patients visited at home between September 1991 and August 1992.

    Main outcome measures-Home visiting rates per 1000 patient years and home visiting ratios standardised for age and sex.

    Results

    10.1% (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 =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).

    Conclusions-Home visits remain an important component of general practitioners'workload. (...)

    Mots-clés Pascal : Médecine générale, Déplacement, Etude statistique, Homme, Grande Bretagne, Royaume Uni, Europe, Visite à domicile

    Mots-clés Pascal anglais : Internal medicine, Displacement, Statistical study, Human, Great Britain, United Kingdom, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0358213

    Code Inist : 002B30A05. Création : 10/04/1997.