Does shortage of GPs matter? A cross-sectional study of practice population life expectancy
© The Authors..
BACKGROUND: There are not enough GPs in England. Access to general practice and continuity of care are declining.
AIM: To investigate whether practice characteristics are associated with life expectancy of practice populations.
DESIGN AND SETTING: A cross-sectional ecological study of patient life expectancy from 2015-2019.
METHOD: Selection of independent variables was based on conceptual frameworks describing general practice's influence on outcomes. Sixteen non-correlated variables were entered into multivariable weighted regression models: population characteristics (Index of Multiple Deprivation, region, % White ethnicity, and % on diabetes register); practice organisation (total NHS payments to practices expressed as payment per registered patient, full-time equivalent fully qualified GPs, GP registrars, advanced nurse practitioners, other nurses, and receptionists per 1000 patients); access (% seen on the same day); clinical performance (% aged ≥45 years with blood pressure checked, % with chronic obstructive pulmonary disease vaccinated against flu, % with diabetes in glycaemic control, and % with coronary heart disease on antiplatelet therapy); and the therapeutic relationship (% continuity).
RESULTS: Deprivation was strongly negatively associated with life expectancy. Regions outside London and White ethnicity were associated with lower life expectancy. Higher payment per patient, full-time equivalent fully qualified GPs per 1000 patients, continuity, % with chronic obstructive pulmonary disease having the flu vaccination, and % with diabetes with glycaemic control were associated with higher life expectancy; the % being seen on the same day was associated with higher life expectancy in males only. The variable aged ≥45 years with blood pressure checked was a negative predictor in females.
CONCLUSION: The number of GPs, continuity of care, and access in England are declining, and it is worrying that these features of general practice were positively associated with life expectancy.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:74 |
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| Enthalten in: |
The British journal of general practice : the journal of the Royal College of General Practitioners - 74(2024), 742 vom: 15. Apr., Seite e283-e289 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Baker, Richard [VerfasserIn] |
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| Links: |
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| Themen: |
Continuity of patient care |
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| Anmerkungen: |
Date Completed 25.04.2024 Date Revised 27.04.2024 published: Electronic-Print Citation Status MEDLINE |
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| doi: |
10.3399/BJGP.2023.0195 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM371109272 |
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| 100 | 1 | |a Baker, Richard |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Does shortage of GPs matter? A cross-sectional study of practice population life expectancy |
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| 500 | |a Date Completed 25.04.2024 | ||
| 500 | |a Date Revised 27.04.2024 | ||
| 500 | |a published: Electronic-Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Authors. | ||
| 520 | |a BACKGROUND: There are not enough GPs in England. Access to general practice and continuity of care are declining | ||
| 520 | |a AIM: To investigate whether practice characteristics are associated with life expectancy of practice populations | ||
| 520 | |a DESIGN AND SETTING: A cross-sectional ecological study of patient life expectancy from 2015-2019 | ||
| 520 | |a METHOD: Selection of independent variables was based on conceptual frameworks describing general practice's influence on outcomes. Sixteen non-correlated variables were entered into multivariable weighted regression models: population characteristics (Index of Multiple Deprivation, region, % White ethnicity, and % on diabetes register); practice organisation (total NHS payments to practices expressed as payment per registered patient, full-time equivalent fully qualified GPs, GP registrars, advanced nurse practitioners, other nurses, and receptionists per 1000 patients); access (% seen on the same day); clinical performance (% aged ≥45 years with blood pressure checked, % with chronic obstructive pulmonary disease vaccinated against flu, % with diabetes in glycaemic control, and % with coronary heart disease on antiplatelet therapy); and the therapeutic relationship (% continuity) | ||
| 520 | |a RESULTS: Deprivation was strongly negatively associated with life expectancy. Regions outside London and White ethnicity were associated with lower life expectancy. Higher payment per patient, full-time equivalent fully qualified GPs per 1000 patients, continuity, % with chronic obstructive pulmonary disease having the flu vaccination, and % with diabetes with glycaemic control were associated with higher life expectancy; the % being seen on the same day was associated with higher life expectancy in males only. The variable aged ≥45 years with blood pressure checked was a negative predictor in females | ||
| 520 | |a CONCLUSION: The number of GPs, continuity of care, and access in England are declining, and it is worrying that these features of general practice were positively associated with life expectancy | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a continuity of patient care | |
| 650 | 4 | |a cross-sectional studies | |
| 650 | 4 | |a health inequities | |
| 650 | 4 | |a health workforce | |
| 650 | 4 | |a life expectancy | |
| 650 | 4 | |a primary health care | |
| 700 | 1 | |a Levene, Louis S |e verfasserin |4 aut | |
| 700 | 1 | |a Newby, Christopher |e verfasserin |4 aut | |
| 700 | 1 | |a Freeman, George K |e verfasserin |4 aut | |
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