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Are there enough GPs in England to detect hypertension and maintain access?
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A’Court, Christine, Atherton, Helen, Dalton, Andrew, Fleming, Susannah, Hirst, Jennifer, Nunan, David, Selwood, Mary and McManus, Richard J (2013) Are there enough GPs in England to detect hypertension and maintain access? British Journal of General Practice, 63 (612). pp. 346-347. doi:10.3399/bjgp13X669103
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Official URL: http://dx.doi.org/10.3399/bjgp13X669103
Abstract
We read with interest the paper by Baker et al exploring the interrelationship between size of hypertension register, GP provision, and access (defined as the ability to get an appointment within 48 hours), assessed in 8052 practices. It suggests a conundrum in primary care: the ‘better’ a practice’s recognition and presumably management of hypertension, the worse the access, given finite staffing resources. The same inverse relationship may apply in other chronic diseases such as diabetes mellitus, where the recognition of risk factors or disease in often asymptomatic individuals also leads to additional workload. As acknowledged by the authors, no information was available on how different members of the primary healthcare team are used, but it appears that, ‘an extra GP per 1000 patients would be associated with a 6% increase in detected hypertension’.
Item Type: | Journal Item | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | British Journal of General Practice | ||||
Publisher: | Royal College of General Practitioners | ||||
ISSN: | 0960-1643 | ||||
Official Date: | July 2013 | ||||
Dates: |
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Volume: | 63 | ||||
Number: | 612 | ||||
Page Range: | pp. 346-347 | ||||
DOI: | 10.3399/bjgp13X669103 | ||||
Status: | Not Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) | ||||
Description: | Letter |
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