Predicting patient use of general practice services in Australia: models developed using national cross-sectional survey data

Autor: Graeme Miller, Christopher Harrison, Helena Britt, Joan Henderson
Rok vydání: 2019
Předmět:
Zdroj: BMC Family Practice, Vol 20, Iss 1, Pp 1-10 (2019)
BMC Family Practice
ISSN: 1471-2296
DOI: 10.1186/s12875-019-0914-y
Popis: Background The ageing population and increasing prevalence of multimorbidity place greater resource demands on the health systems internationally. Accurate prediction of general practice (GP) services is important for health workforce planning. The aim of this research was to develop a parsimonious model that predicts patient visit rates to general practice. Methods Between 2012 and 2016, 1449 randomly selected Australian GPs recorded GP-patient encounter details for 43,501 patients in sub-studies of the Bettering the Evaluation and Care of Health (BEACH) program. Details included patient characteristics, all diagnosed chronic conditions per patient and the number of GP visits for each patient in previous 12 months. BEACH has a single stage cluster design. Survey procedures in SAS version 9.3 (SAS Inc., Cary, NC, USA) were used to account for the effect of this clustering. Models predicting patient GP visit rates were tested. R-square value was used to measure how well each model predicts GP attendance. An adjusted R-square was calculated for all models with more than one explanatory variable. Statistically insignificant variables were removed through backwards elimination. Due to the large sample size, p
Databáze: OpenAIRE