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Consultation rates in English general practice.

D M Fleming

    The Journal of the Royal College of General Practitioners
    |February 1, 1989
    PubMed
    Summary

    Estimating patient consulting rates involves challenges like defining consultations and the population at risk. The 1981 national estimate was 3.5 consultations per patient, with home visits comprising 15% of total consultations.

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    Area of Science:

    • Health Services Research
    • Primary Care Medicine
    • Epidemiology

    Background:

    • Accurate estimation of patient consulting rates is crucial for healthcare resource allocation and understanding healthcare utilization patterns.
    • Existing methods for estimating annual consulting rates per patient face several methodological challenges.
    • Data on patient consultations are often derived from surveys with broader objectives, potentially impacting accuracy.

    Purpose of the Study:

    • To review and critically evaluate methods for estimating the annual consulting rate per patient.
    • To identify and discuss methodological problems associated with consultation rate estimation.
    • To present an estimated national annual consultation rate for 1981 and discuss its reliability.

    Main Methods:

    • Review of existing methodologies for estimating patient consultation rates.
    • Analysis of data from surveys, including the General Household Survey.
    • Examination of factors influencing consultation rates, such as home visits and telephone contacts.

    Main Results:

    • Methodological issues include defining consultations, identifying the population at risk, and the reliability of home visit data.
    • The estimated annual consultation rate in 1981, excluding telephone contacts, was 3.5 consultations per patient.
    • Home visits constituted approximately 15% of all consultations in 1981, a proportion consistent from 1980-1983.

    Conclusions:

    • The General Household Survey provides a reliable estimate of the national consulting rate despite its sample size limitations.
    • Further validation is needed using surveys that measure consultation rates over longer periods rather than relying solely on memory recall.
    • Doctoral workload remained relatively stable between 1970 and 1981, irrespective of list size reduction.

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