Demographic and socioeconomic patterns in healthcare-seeking behaviour for respiratory symptoms in England: a comparison with non-respiratory symptoms and between three healthcare services
| Autor: | Kirsty E Morrison, Simon de Lusignan, Felipe J. Colón-González, J Rutter, Gareth Stuttard, Gillian E Smith, Iain R. Lake, Alex Yeates, Alex J. Elliot, Roger Morbey, Richard Pebody, Paul R. Hunter |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Epidemiology statistics & research methods Telehealth Disease Young Adult respiratory infections Health care medicine Humans Respiratory system Socioeconomic status Disease burden Demography business.industry Public health General Medicine Patient Acceptance of Health Care England Socioeconomic Factors Medicine Female business Delivery of Health Care |
| Zdroj: | BMJ Open BMJ Open, Vol 10, Iss 11 (2020) |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveThis study will analyse respiratory contacts to three healthcare services that capture more of the community disease burden than acute data sources, such as hospitalisations. The objective is to explore associations between contacts to these services and the patient’s age, gender and deprivation. Results will be compared between healthcare services, and with non-respiratory contacts to explore how contacts differ by service and illness. It is crucial to investigate the sociodemographic patterns in healthcare-seeking behaviour to enable targeted public health interventions.DesignEcological study.SettingSurveillance of respiratory contacts to three healthcare services in England: telehealth helpline (NHS111); general practitioner in-hours (GPIH); and general practitioner out of hours unscheduled care (GPOOH).Participants13 million respiratory contacts to NHS111, GPIH and GPOOH.Outcome measuresRespiratory contacts to NHS111, GPIH and GPOOH, and non-respiratory contacts to NHS111 and GPOOH.ResultsMore respiratory contacts were observed for females, with 1.59, 1.73, and 1.95 times the rate of contacts to NHS111, GPOOH and GPIH, respectively. When compared with 15–44 year olds, there were 37.32, 18.66 and 6.21 times the rate of respiratory contacts to NHS111, GPOOH and GPIH in children ConclusionWhen contacts to services that capture more of the disease burden are explored, the demographic patterns are similar to those described in the literature for acute systems. Comparable results were observed between respiratory and non-respiratory contacts suggesting that when a wider spectrum of disease is explored, sociodemographic factors may be the strongest influencers of healthcare-seeking behaviour. |
| Databáze: | OpenAIRE |
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