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Centre for Policy on Ageing | |
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| Variation in general practice medical admission rates for elderly people | | Author(s) | Phil Ambery, Ian P Donald |
| Journal title | Journal of Public Health Medicine, vol 22, no 3, September 2000 |
| Pages | pp 422-426 |
| Keywords | Admission [hospitals] ; General practice ; Gloucestershire. |
| Annotation | Emergency medical admissions are rising, particularly among older people. Variation in admission rates between general practices has received little attention, and requires explanation. A retrospective review was carried out of emergency medical admissions of over-75s in the District General Hospital (DGH) and the Community Hospitals (CHs) in West Gloucestershire over a 3-year period. A survey of general practitioner (GP) attitudes to emergency admissions was carried out. A 5-fold spread in DGH and CH admission rates for medical admissions of older people was found, with a 3-fold spread of overall admission rates. Rates were consistent within a practice each year. The spreads of practice mortality rates and myocardial infarction admission rates were smaller. The variation between practices was not explained by the Jarman Index or by attitudes identified in GPs. Practices with high admission rates had slightly higher annual hospital mortality rates, but lower episode fatality rates. Admission rates show considerable variation between practices, which is only partly explained by morbidity rates and consistency over 3 years. (RH). |
| Accession Number | CPA-001120203 A |
| Classmark | LD:QKH: L5: 8G |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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