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Related Experiment Videos

Which general practices have higher list inflation? An exploratory study.

Mark Ashworth1, Michael Jenkins, Karen Burgess

  • 1STaRNet, GKT Department of General Practice, Kings' College London, UK. mark.ashworth@gp-G85053.nhs.uk

Family Practice
|July 12, 2005
PubMed
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General practice list inflation varies significantly, impacting patient care and resource allocation. A national de-ghosting initiative aims to correct these discrepancies, ensuring accurate patient counts for improved healthcare services.

Area of Science:

  • Primary Care Research
  • Health Services Research
  • General Practice Management

Background:

  • A 7% discrepancy exists between census and General Practice (GP) registered patient populations in England.
  • GP income and resource allocation are increasingly tied to registered patient lists.
  • A national 'de-ghosting' exercise is planned to address patient list inflation.

Purpose of the Study:

  • To quantify the variability in patient list inflation across individual general practices.
  • To understand the impact of list inflation on practice-level performance metrics.

Main Methods:

  • A study surveyed 42,712 men aged 20-29 years across three inner-city Primary Care Trusts.
  • Patients were removed from GP lists if their addresses were not verified after six months.

Related Experiment Videos

  • Deduction rates were tracked at the practice level.

    • Main Results:

    • 33.5% of registered patients were eventually removed from GP lists (data for 20-24 year olds).
    • Practice-level deduction rates varied widely, from 7% to 76%.
    • Practices with higher deduction rates showed lower vaccination and cervical smear rates, and lower prescribing costs per ASTRO-PU.

    Conclusions:

    • The national de-ghosting exercise may significantly alter practice list sizes.
    • Failure to account for list inflation can lead to underestimation of GP activity in primary care research, especially in urban areas.
    • Disparities in list inflation can distort resource allocation within primary care.