Public Health Department, NHS Northamptonshire, Northampton, UK.
BMC Health Serv Res. 2013 Jan 7;13:11. doi: 10.1186/1472-6963-13-11.
From 2004 to 2009 there was almost a 12% rise in emergency admissions in England. This can be explained partly by an aging population and other socio-demographic characteristics, but much cannot be explained by these factors. We explored aspects of care, in addition to known demographic characteristics in general practice, that are associated with emergency admissions.
A cross-sectional design employing hospital admission data from 76 general practices in Northamptonshire, England for 2006-08, including demographic data, quality and outcomes framework points and GP patient survey outcomes.
There were statistically significant associations between emergency admissions and age, gender, distance from hospital and proportion classified as white. There was also a statistically significant relationship between emergency admissions and being able to book an appointment with a preferred doctor; this relationship was stronger in less deprived communities.
Enabling patients to book with a preferred doctor, particularly those in less deprived communities could have an impact on reducing emergency admissions. It is possible that being able to consult a preferred GP gives patient's confidence to avoid an emergency admission or it facilitates consistent clinical management that helps prevent the need for admission. However the findings only explained some of the variation.
2004 年至 2009 年，英国的急诊入院人数增加了近 12%。这部分可以通过人口老龄化和其他社会人口特征来解释，但很多因素无法解释。除了一般实践中已知的人口统计学特征外，我们还探讨了与急诊入院相关的护理方面。
采用 2006-08 年英格兰北安普顿郡 76 家全科诊所的住院数据进行横断面设计，包括人口统计学数据、质量和结果框架点以及全科医生患者调查结果。
急诊入院与年龄、性别、与医院的距离和被归类为白人的比例之间存在统计学上的显著关联。急诊入院与能够预约首选医生之间也存在统计学上的关系；在贫困程度较低的社区，这种关系更强。
使患者能够预约首选医生，特别是在贫困程度较低的社区，可能会对减少急诊入院产生影响。能够咨询首选全科医生可能会给患者信心，避免急诊入院，或者有助于进行一致的临床管理，从而避免入院的需要。然而，这些发现仅解释了部分变化。
