A U.K. case study of who uses NHS Direct: investigating the impact of age, gender, and deprivation on the utilization of NHS Direct

2.50
Hdl Handle:
http://hdl.handle.net/10547/558798
Title:
A U.K. case study of who uses NHS Direct: investigating the impact of age, gender, and deprivation on the utilization of NHS Direct
Authors:
Cook, Erica Jane ( 0000-0003-4369-8202 ) ; Randhawa, Gurch ( 0000-0002-2289-5859 ) ; Large, Shirley; Guppy, Andy; Chater, Angel M. ( 0000-0002-9043-2565 )
Abstract:
National Health Service (NHS) Direct provides a 24/7 telephone-based healthcare advice and information service to the public in England. Locally based studies have suggested variation in the uptake of this service among the United Kingdom's diverse population. This study seeks to examine this issue at a national level. One month's period of national data was collected (July 2010) from the NHS Direct Clinical Assessment System for all 0845 4647 calls in England. Calls were matched to place of residence and were analyzed for age, gender, and deprivation using negative binominal regression. Within the context of NHS Direct the pattern of calls was highest for children 5 years old and under, with lowest call rates found for males and older people (65+ years old). Furthermore, call rates were lowest in the most deprived areas for children (0-15 years old). Gender differences were noted, whereby male call rates were higher in the most deprived areas for all age groups. Furthermore, call rates for or on behalf of older females (60+ years old) were lower in areas of extreme deprivation. The findings suggest there is variation in usage of NHS Direct. Such usage appears to be influenced by age, gender, and deprivation. Further research is required to examine the underlying factors that contribute to variation in uptake of these services. This will enable the development of future promotional campaigns that can target particular sections of the population to encourage use of telephone-based health services.
Affiliation:
University of Bedfordshire
Citation:
Cook, E., Randhawa, G., Large, S., Guppy, A., Chater, A.M. (2012) 'A U.K. Case Study of Who Uses NHS Direct: Investigating the Impact of Age, Gender, and Deprivation on the Utilization of NHS Direct' Telemedicine and e-Health 18 (9):693
Publisher:
Mary Ann Liebert
Journal:
Telemedicine and e-Health
Issue Date:
Nov-2012
URI:
http://hdl.handle.net/10547/558798
DOI:
10.1089/tmj.2011.0256
Additional Links:
http://online.liebertpub.com/doi/abs/10.1089/tmj.2011.0256
Type:
Article
Language:
en
ISSN:
1530-5627; 1556-3669
Appears in Collections:
IHR Institute for Health Research

Full metadata record

DC FieldValue Language
dc.contributor.authorCook, Erica Janeen
dc.contributor.authorRandhawa, Gurchen
dc.contributor.authorLarge, Shirleyen
dc.contributor.authorGuppy, Andyen
dc.contributor.authorChater, Angel M.en
dc.date.accessioned2015-07-02T11:35:18Zen
dc.date.available2015-07-02T11:35:18Zen
dc.date.issued2012-11en
dc.identifier.citationCook, E., Randhawa, G., Large, S., Guppy, A., Chater, A.M. (2012) 'A U.K. Case Study of Who Uses NHS Direct: Investigating the Impact of Age, Gender, and Deprivation on the Utilization of NHS Direct' Telemedicine and e-Health 18 (9):693en
dc.identifier.issn1530-5627en
dc.identifier.issn1556-3669en
dc.identifier.doi10.1089/tmj.2011.0256en
dc.identifier.urihttp://hdl.handle.net/10547/558798en
dc.description.abstractNational Health Service (NHS) Direct provides a 24/7 telephone-based healthcare advice and information service to the public in England. Locally based studies have suggested variation in the uptake of this service among the United Kingdom's diverse population. This study seeks to examine this issue at a national level. One month's period of national data was collected (July 2010) from the NHS Direct Clinical Assessment System for all 0845 4647 calls in England. Calls were matched to place of residence and were analyzed for age, gender, and deprivation using negative binominal regression. Within the context of NHS Direct the pattern of calls was highest for children 5 years old and under, with lowest call rates found for males and older people (65+ years old). Furthermore, call rates were lowest in the most deprived areas for children (0-15 years old). Gender differences were noted, whereby male call rates were higher in the most deprived areas for all age groups. Furthermore, call rates for or on behalf of older females (60+ years old) were lower in areas of extreme deprivation. The findings suggest there is variation in usage of NHS Direct. Such usage appears to be influenced by age, gender, and deprivation. Further research is required to examine the underlying factors that contribute to variation in uptake of these services. This will enable the development of future promotional campaigns that can target particular sections of the population to encourage use of telephone-based health services.en
dc.language.isoenen
dc.publisherMary Ann Lieberten
dc.relation.urlhttp://online.liebertpub.com/doi/abs/10.1089/tmj.2011.0256en
dc.rightsArchived with thanks to Telemedicine and e-Healthen
dc.subjectNHS Directen
dc.subjecttelephone based healthcareen
dc.titleA U.K. case study of who uses NHS Direct: investigating the impact of age, gender, and deprivation on the utilization of NHS Directen
dc.typeArticleen
dc.contributor.departmentUniversity of Bedfordshireen
dc.identifier.journalTelemedicine and e-Healthen
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