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Demographic and socioeconomic patterns in healthcare-seeking behaviour for respiratory symptoms in England: a comparison with non-respiratory symptoms and between three healthcare services.
Morrison, Kirsty E; Colón-González, Felipe J; Morbey, Roger A; Hunter, Paul R; Rutter, Judith; Stuttard, Gareth; de Lusignan, Simon; Yeates, Alex; Pebody, Richard; Smith, Gillian; Elliot, Alex J; Lake, Iain R.
Afiliación
  • Morrison KE; School of Environmental Sciences, University of East Anglia, Norwich, UK k.morrison@uea.ac.uk.
  • Colón-González FJ; School of Environmental Sciences, University of East Anglia, Norwich, UK.
  • Morbey RA; Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, UK.
  • Hunter PR; Real-time Syndromic Surveillance Team, Field Service, National Infection Service, Public Health England, Birmingham, UK.
  • Rutter J; Norwich Medical School, University of East Anglia, Norwich, UK.
  • Stuttard G; NHS Digital, Leeds, UK.
  • de Lusignan S; NHS England and NHS Improvement, London, UK.
  • Yeates A; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
  • Pebody R; Royal College of General Practitioners Research and Surveillance Centre, London, UK.
  • Smith G; Advanced, Ashford, UK.
  • Elliot AJ; Influenza and Other Respiratory Virus Section, Immunisation and Countermeasures Division, National Infection Service, Public Health England, London, UK.
  • Lake IR; School of Environmental Sciences, University of East Anglia, Norwich, UK.
BMJ Open ; 10(11): e038356, 2020 11 06.
Article en En | MEDLINE | ID: mdl-33158821
OBJECTIVE: This 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. DESIGN: Ecological study. SETTING: Surveillance 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). PARTICIPANTS: 13 million respiratory contacts to NHS111, GPIH and GPOOH. OUTCOME MEASURES: Respiratory contacts to NHS111, GPIH and GPOOH, and non-respiratory contacts to NHS111 and GPOOH. RESULTS: More 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 <1 year. There were 1.75 and 2.70 times the rate of respiratory contacts in the most deprived areas compared with the least deprived to NHS111 and GPOOH. Elevated respiratory contacts were observed for males <5 years compared with females <5 years. Healthcare-seeking behaviours between respiratory and non-respiratory contacts were similar. CONCLUSION: When 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Atención a la Salud Tipo de estudio: Diagnostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: BMJ Open Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Atención a la Salud Tipo de estudio: Diagnostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: BMJ Open Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido