Emergency department attendances and GP patient satisfaction

Hurst, Keith, Kelley-Patterson, Deirdre and Knapton, Andy (2017) Emergency department attendances and GP patient satisfaction. London Journal of Primary Care, 9 (5). pp. 69-72. ISSN 1757-1472

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Abstract

Background: Despite invaluable national data, reasons for the relentless rise in England’s emergency department (ED) attendances remain elusive.

Setting: All EDs and general practices in England.

Question: Are rising ED attendances related to general practice patient satisfaction, i.e. if patients are unable to get a convenient appointment with their general practitioner (GP), then do they attend their local ED for diagnosis, treatment and care instead?

Method: GP patient satisfaction and ED attendance data were extracted from national data warehouses and organised into two groups: (i) England clinical commissioning group (CCG) areas and (ii) a London CCG subset. Data from London CCGs were compared with CCGs outside London.

Results: ED attendances were strongly correlated with GP patient satisfaction data in non-London CCGs, e.g. if patients said they had difficulty obtaining a convenient appointment at their general practice, then local ED attendances increased. Associations were repeated when other GP perception data were explored, e.g. if patients were satisfied with GPs and practice nurses, then they were less likely to attend their local EDs. However, these associations were not found in the London CCG subset despite lower satisfaction with London GP services.

Discussion and Conclusions: Although our study generates valuable insights into ED attendances, the reasons why London general practice patient and ED attendance data don’t show the same associations found outside London warrants further study. Diverting patients from EDs to primary care services may not be straight forward as many would like to believe.

Item Type: Article
Additional Information: © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords: Workforce planning and development, GP patient satisfaction, ED attendances
Subjects: Medicine and health
Medicine and health > Primary health
Depositing User: DEIRDRE KELLEY-PATTERSON
Date Deposited: 08 Jun 2017 09:10
Last Modified: 08 Sep 2017 14:21
URI: http://repository.uwl.ac.uk/id/eprint/3406

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