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    Home visits: why do rates vary so much?

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    Authors
    Stewart, P
    Stewart, R
    Affiliation
    Donegal Specialist Training Programme in General Practice, Education Centre, St. Conals, Letterkenny, Co Donegal. pspstewart62@gmail.com
    Issue Date
    2012-03
    MeSH
    Aged
    Female
    General Practice
    House Calls
    Humans
    Ireland
    Male
    Rural Health Services
    
    Metadata
    Show full item record
    Citation
    Home visits: why do rates vary so much? 2012, 105 (3):83-4 Ir Med J
    Publisher
    Irish Medical Journal (IMJ)
    Journal
    Irish medical journal
    URI
    http://hdl.handle.net/10147/233616
    PubMed ID
    22558815
    Additional Links
    http://www.ncbi.nlm.nih.gov/pubmed?term=Home%20Visits%3A%20Why%20do%20Rates%20Vary%20so%20Much%3F
    Abstract
    Data including information on patient age, gender, who initiated the visit and call classification was collected during office hours from 12 G.P. rural teaching practices with a combined GMS patient population of 24,720, over a 2 month period. There were a total of 603 home visits, giving an annual visiting rate of 143/1000. Visiting rates varied between practices from 45 to 305/1000 per year. When high visiting practices (>210/1000/year) were compared to low visiting rate practices (>90/1000/year), patients tended to be older (79.7 v. 74.5 years) and calls were 12 times more likely to be doctor initiated (16.6% v. 1.4%) or classified as routine( 50.7% v. 44.9%). The variation between practices was related in part to patient age but appears largely due to differences in doctor home visiting behaviour. There are no recent figures on home visiting in Ireland.
    Item Type
    Article
    Language
    en
    ISSN
    0332-3102
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