Exploring the effect of changes to service provision on the use of unscheduled care in England: population surveys
2007

Impact of New Services on Unscheduled Care in England

Sample size: 33602 publication 10 minutes Evidence: moderate

Author Information

Author(s): O'Cathain Alicia, Knowles Emma, Munro James, Nicholl Jon

Primary Institution: University of Sheffield

Hypothesis

How do changes in service provision affect the use of unscheduled care in England?

Conclusion

Introducing new services to the provision of unscheduled care did not affect the use of traditional services.

Supporting Evidence

  • 16% of respondents reported an unscheduled episode in the previous four weeks.
  • Telephone help lines saw increased usage over the five years.
  • Most respondents sought help from GPs, family, and friends.

Takeaway

The study looked at how new health services changed the way people get urgent care, and found that most people still go to their regular doctor.

Methodology

Cross-sectional population postal surveys conducted annually from 1998 to 2002 in two geographical areas in England.

Potential Biases

Potential bias due to higher response rates from those who recently used services.

Limitations

The study lacked control areas and relied on self-reported data, which may not accurately reflect the entire population's use of services.

Participant Demographics

The sample included a mix of ages and socio-economic statuses, with a notable decrease in young adult respondents over time.

Statistical Information

P-Value

0.170

Confidence Interval

95% CI (15.9 to 16.1)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-7-61

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