Factors influencing the attendance rate at accident and emergency departments in East London : the contributions of practice organization, population characteristics and distance.
To examine the contribution of general practice organisation, population characteristics and distance to practice attendance rates at four local accident and emergency departments.
Practice-based study examining variations in accident and emergency department attendance rates in 105 practices, using routine data from the Family Health Services Authority (FHSA), the District Health Authority and the 1991 Census.
East London and the City Health Authority, covering practices based in the inner city boroughs of Hackney Tower Hamlets and Newham, and the City of London.
Main outcome measure
Practice-based, age-standardized, adult attendance rates at accident and emergency departments in the year to 31 March 1994.
Annual age-standardized practice accident and emergency department attendance rates ranged from 10.3 to 29.4 per 100 population.
The mean practice attendance rate was 17.6 per 100 (95% CI 16.8-18,4).
No significant relationship was found between attendance rates and practice characteristics (number and sex of general practitioner (GP) principals, presence of practice manager or nurse, computerization and training status).
There were strong positive relationships between attendance rates and households not owner-occupied (R=0.55, P<0.001) and pensioners living alone (R=0.55, P<0.001).
There were negative correlations with Asian ethnicity (R=-0.31, P=0.002) and residents lacking amenities (R=-0.26, P=0.007). (...)
Mots-clés Pascal : Médecin généraliste, Médecin, Personnel sanitaire, Travailleur social, Cabinet médical, Distance, Observation, Méthodologie, Royaume Uni, Europe, Monde, Logement habitation, Isolement social, Société, Sociologie, Location, Pauvreté, Classe sociale, Inégalité, Accessibilité, Soin, Milieu hospitalier, Urgence, Service hospitalier, Organisation hospitalière, Comportement, Santé, Europe Ouest, Aspect politique, Géographie, Comportement social
Mots-clés Pascal anglais : General practitioner, Physician, Health staff, Social worker, Doctor office, Distance, Observation, Methodology, United Kingdom, Europe, World, Housing, Social isolation, Society, Sociology, Rental, Poverty, Social class, Inequality, Accessibility, Care, Hospital environment, Emergency, Hospital ward, Hospital organization, Behavior, Health, Western Europe, Political aspect, Geography, Social behavior
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 21/07/1998.