The impact of location of the uptake of telephone based healthcare

2.50
Hdl Handle:
http://hdl.handle.net/10547/622308
Title:
The impact of location of the uptake of telephone based healthcare
Authors:
Cook, Erica Jane ( 0000-0003-4369-8202 ) ; Randhawa, Gurch ( 0000-0002-2289-5859 ) ; Guppy, Andrew; Chater, Angel M. ( 0000-0002-9043-2565 ) ; Pang, Dong; Large, Shirley
Abstract:
Telephone healthcare systems have been put forward as a key strategy to overcome geographical disadvantage, however, evidence has suggested that usage decreases with increasing rurality. This research aimed to identify geographical high and low areas of usage of NHS Direct, a leading telephone healthcare provider worldwide to determine if usage is influenced by rurality. National call data was collected (January, 2011) from the NHS Direct Clinical Assessment System for all 0845 4647 calls in England, UK (N=360,137). Data extracted for analysis included; unit postcode of patient, type of call, date of call, time of call and final disposition. Calls were mapped using GIS mapping software using full postcode, aggregated by population estimate by local authority to determine confidence intervals across two thresholds by call rate. Uptake rate Output Area Classification (OAC) group profiles was performed using the chi-square goodness of fit. The majority of calls were ‘symptomatic’ (N=280,055; 74.8%) i.e. calls that were triaged by an expert nurse, with the remaining 25.2% of calls health/ medicine information only (N=94,430). NHS Direct were able to manage through self-care advice and health information 43.5 of all calls made (N=99,367) with no onward referral needed. Geographical pattern of calls were highest for more urbanised areas with significant higher call usage found in larger cities. Lower observed usage was found in areas that are more rural of which were characterised by above average older populations. This was supported by geo-segmentation, which highlighted that rural and older communities had the lowest expected uptake rate. There is a variation of usage of NHS Direct relating to rurality, which suggests that this type of service has not been successful in reducing accessible barriers. However, geographical variations are likely to be influenced by age. There is a need for exploratory to determine the underlying factors that contribute to variation in uptake of these services particularly older people who reside in rural communities. This will have worldwide implications as to how telephone based healthcare is introduced.
Affiliation:
University of Bedfordshire; Public Health England
Citation:
Cook, E., Randhawa, G., Guppy, A., Chater, A., Pang, D. Large, S. (2016) 'The impact of location of the uptake of telephone based healthcare', International Journal of Emerging Technology and Advanced Engineering, 6 (6), pp.39-47.
Journal:
International Journal of Emerging Technology and Advanced Engineering
Issue Date:
1-Jun-2016
URI:
http://hdl.handle.net/10547/622308
Additional Links:
http://www.ijetae.com/files/Volume6Issue6/IJETAE_0616_05.pdf
Type:
Article
Language:
en
Appears in Collections:
Health

Full metadata record

DC FieldValue Language
dc.contributor.authorCook, Erica Janeen
dc.contributor.authorRandhawa, Gurchen
dc.contributor.authorGuppy, Andrewen
dc.contributor.authorChater, Angel M.en
dc.contributor.authorPang, Dongen
dc.contributor.authorLarge, Shirleyen
dc.date.accessioned2017-10-24T13:06:21Z-
dc.date.available2017-10-24T13:06:21Z-
dc.date.issued2016-06-01-
dc.identifier.citationCook, E., Randhawa, G., Guppy, A., Chater, A., Pang, D. Large, S. (2016) 'The impact of location of the uptake of telephone based healthcare', International Journal of Emerging Technology and Advanced Engineering, 6 (6), pp.39-47.en
dc.identifier.urihttp://hdl.handle.net/10547/622308-
dc.description.abstractTelephone healthcare systems have been put forward as a key strategy to overcome geographical disadvantage, however, evidence has suggested that usage decreases with increasing rurality. This research aimed to identify geographical high and low areas of usage of NHS Direct, a leading telephone healthcare provider worldwide to determine if usage is influenced by rurality. National call data was collected (January, 2011) from the NHS Direct Clinical Assessment System for all 0845 4647 calls in England, UK (N=360,137). Data extracted for analysis included; unit postcode of patient, type of call, date of call, time of call and final disposition. Calls were mapped using GIS mapping software using full postcode, aggregated by population estimate by local authority to determine confidence intervals across two thresholds by call rate. Uptake rate Output Area Classification (OAC) group profiles was performed using the chi-square goodness of fit. The majority of calls were ‘symptomatic’ (N=280,055; 74.8%) i.e. calls that were triaged by an expert nurse, with the remaining 25.2% of calls health/ medicine information only (N=94,430). NHS Direct were able to manage through self-care advice and health information 43.5 of all calls made (N=99,367) with no onward referral needed. Geographical pattern of calls were highest for more urbanised areas with significant higher call usage found in larger cities. Lower observed usage was found in areas that are more rural of which were characterised by above average older populations. This was supported by geo-segmentation, which highlighted that rural and older communities had the lowest expected uptake rate. There is a variation of usage of NHS Direct relating to rurality, which suggests that this type of service has not been successful in reducing accessible barriers. However, geographical variations are likely to be influenced by age. There is a need for exploratory to determine the underlying factors that contribute to variation in uptake of these services particularly older people who reside in rural communities. This will have worldwide implications as to how telephone based healthcare is introduced.en
dc.language.isoenen
dc.relation.urlhttp://www.ijetae.com/files/Volume6Issue6/IJETAE_0616_05.pdfen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjecthealthen
dc.subjectNHS Directen
dc.subjecttelephone based healthcareen
dc.subjectL431 Health Policyen
dc.titleThe impact of location of the uptake of telephone based healthcareen
dc.typeArticleen
dc.contributor.departmentUniversity of Bedfordshireen
dc.contributor.departmentPublic Health Englanden
dc.identifier.journalInternational Journal of Emerging Technology and Advanced Engineeringen
dc.date.updated2017-10-24T11:29:05Z-
dc.description.noteEmailed publisher - "One of our researchers has submitted an article (http://www.ijetae.com/files/Volume6Issue6/IJETAE_0616_05.pdf) to our institutional repository, in compliance with the UK’s HEFCE open access policy. I can’t find any information on your website as to whether that is permissible or not; if it isn’t, please let us know and we will take it down." RVO 24/10/17-
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