scholarly journals Does better access to primary care reduce utilization of hospital accident and emergency departments? A time-series analysis

2007 ◽  
Vol 17 (2) ◽  
pp. 186-192 ◽  
Author(s):  
D. Oterino de la Fuente ◽  
J. F. Banos Pino ◽  
V. F. Blanco ◽  
A. R. Alvarez
BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e029188 ◽  
Author(s):  
Manish Pareek ◽  
Helen C Eborall ◽  
Fatimah Wobi ◽  
Kate S Ellis ◽  
Evangelos Kontopantelis ◽  
...  

BackgroundMigration is a major global driver of population change. Certain migrants may be at increased risk of infectious diseases, including tuberculosis (TB), HIV, hepatitis B and hepatitis C, and have poorer outcomes. Early diagnosis and management of these infections can reduce morbidity, mortality and onward transmission and is supported by national guidelines. To date, screening initiatives have been sporadic and focused on individual diseases; systematic routine testing of migrant groups for multiple infections is rarely undertaken and its impact is unknown. We describe the protocol for the evaluation of acceptability, effectiveness and cost-effectiveness of an integrated approach to screening migrants for a range of infectious diseases in primary care.Methods and analysisWe will conduct a mixed-methods study which includes an observational cohort with interrupted time-series analysis before and after the introduction of routine screening of migrants for infectious diseases (latent TB, HIV, hepatitis B and hepatitis C) when first registering with primary care within Leicester, UK. We will assess trends in the monthly number and rate of testing and diagnosis for latent TB, HIV, hepatitis B and hepatitis C to determine the effect of the policy change using segmented regression analyses at monthly time-points. Concurrently, we will undertake an integrated qualitative sub-study to understand the views of migrants and healthcare professionals to the new testing policy in primary care. Finally, we will evaluate the cost-effectiveness of combined infection testing for migrants in primary care.Ethics and disseminationThe study has received HRA and NHS approvals for both the interrupted time-series analysis (16/SC/0127) and the qualitative sub-study (16/EM/0159). For the interrupted time-series analysis we will only use fully anonymised data. For the qualitative sub-study, we will gain written, informed, consent. Dissemination of the results will be through local and national meetings/conferences as well as publications in peer-reviewed journals.


PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0233062
Author(s):  
Rocío Fernández-Urrusuno ◽  
Carmen Marina Meseguer Barros ◽  
Regina Sandra Benavente Cantalejo ◽  
Elena Hevia ◽  
Carmen Serrano Martino ◽  
...  

2015 ◽  
Vol 22 (8) ◽  
pp. 942-949 ◽  
Author(s):  
Rhonda J. Rosychuk ◽  
Erik Youngson ◽  
Brian H. Rowe

2015 ◽  
Vol 70 (8) ◽  
pp. 2397-2404 ◽  
Author(s):  
Virginia Hernandez-Santiago ◽  
Charis A. Marwick ◽  
Andrea Patton ◽  
Peter G. Davey ◽  
Peter T. Donnan ◽  
...  

2017 ◽  
Vol 26 (9) ◽  
pp. 1093-1099 ◽  
Author(s):  
Rachael Morkem ◽  
Tyler Williamson ◽  
Scott Patten ◽  
John A. Queenan ◽  
Sabrina T. Wong ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document