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Distribución y calidad de las prácticas generales con financiación privada en Inglaterra: un análisis transversal
Joseph Hutchinson1, Michael Anderson2,3, Harriet Bullen4
1National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, United Kingdom j.hutchinson@lboro.ac.uk.
BJGP open
|August 27, 2025
Resumen
La demanda de prácticas generales privadas en Inglaterra está aumentando, y estos servicios se concentran en Londres y las zonas urbanas. Su crecimiento puede aumentar las desigualdades en el acceso a la atención primaria.
Área de la Ciencia:
- Medicina de Atención Primaria
- Investigación en servicios de salud
- Economía de la salud
Sus antecedentes:
- La demanda pública de servicios de medicina general financiados con fondos privados en Inglaterra está aumentando.
- Existen datos limitados sobre el número, la ubicación y la calidad de las prácticas generales privadas.
- La comprensión del panorama de la atención primaria privada es crucial para evaluar su impacto en el sistema de salud.
Objetivo del estudio:
- Mapear la distribución geográfica de las prácticas generales privadas en toda Inglaterra.
- Investigar la relación entre las características de la práctica general del NHS (acceso, continuidad, financiación) y la proximidad de las prácticas privadas.
- Para comparar las calificaciones de calidad tanto del NHS como de los consultorios generales privados.
Principales métodos:
- Análisis transversal de las prácticas generales privadas y del NHS en Inglaterra a partir de abril de 2024.
- Utilizó los datos de la Comisión de Calidad de la Atención (CQC) para identificar las prácticas privadas.
- Utilizó regresión logística de varios niveles para analizar las asociaciones entre las características de la práctica del NHS y las prácticas privadas cercanas; comparó las calificaciones de CQC.
Principales resultados:
- En abril de 2024, se habían identificado 358 clínicas privadas y 5.976 del NHS.
- Las prácticas privadas se encuentran predominantemente en Londres y otros centros urbanos.
- Las prácticas del NHS con mayor satisfacción de los pacientes con respecto a las esperas de citas y una mayor densidad de médicos de cabecera per cápita tenían más probabilidades de tener una práctica privada cercana.
Conclusiones:
- Las prácticas generales privadas son más frecuentes en Londres y áreas con mejor acceso al NHS GP.
- Las calificaciones de calidad entre el NHS y los consultorios privados eran similares, aunque el 44% de los consultorios privados carecían de calificaciones CQC.
- La expansión de las prácticas generales privadas podría exacerbar las desigualdades existentes en el acceso a la atención primaria.
Palabras clave:
la accesibilidadPráctica generalcalidad de la asistencia sanitariaCuidados primariosSector privado de la saludEstado socioeconómicoMás Videos Relacionados
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