Telemed J E Health - A U.K. case study of who uses NHS direct: investigating the impact of age, gender, and deprivation on the utilization of NHS direct.

Tópicos

{ age(1611) year(1155) adult(843) }
{ studi(1410) differ(1259) use(1210) }
{ health(3367) inform(1360) care(1135) }
{ take(945) account(800) differ(722) }
{ spatial(1525) area(1432) region(1030) }
{ chang(1828) time(1643) increas(1301) }
{ structur(1116) can(940) graph(676) }
{ detect(2391) sensit(1101) algorithm(908) }
{ featur(1941) imag(1645) propos(1176) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ general(901) number(790) one(736) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1119) effect(1106) posit(819) }
{ group(2977) signific(1463) compar(1072) }
{ use(2086) technolog(871) perceiv(783) }
{ high(1669) rate(1365) level(1280) }
{ implement(1333) system(1263) develop(1122) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ method(1219) similar(1157) match(930) }
{ studi(2440) review(1878) systemat(933) }
{ framework(1458) process(801) describ(734) }
{ concept(1167) ontolog(924) domain(897) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ case(1353) use(1143) diagnosi(1136) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ monitor(1329) mobil(1314) devic(1160) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ drug(1928) target(777) effect(648) }
{ decis(3086) make(1611) patient(1517) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ model(3480) simul(1196) paramet(876) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ can(981) present(881) function(850) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

JECTIVES: 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.SUBJECTS AND METHODS: 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.RESULTS: 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.CONCLUSIONS: 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.

Resumo Limpo

jectiv nation health servic nhs direct provid telephonebas healthcar advic inform servic public england local base studi suggest variat uptak servic among unit kingdom divers popul studi seek examin issu nation levelsubject method one month period nation data collect juli nhs direct clinic assess system call england call match place resid analyz age gender depriv use negat binomin regressionresult within context nhs direct pattern call highest children year old lowest call rate found male older peopl year old furthermor call rate lowest depriv area children year old gender differ note wherebi male call rate higher depriv area age group furthermor call rate behalf older femal year old lower area extrem deprivationconclus find suggest variat usag nhs direct usag appear influenc age gender depriv research requir examin under factor contribut variat uptak servic will enabl develop futur promot campaign can target particular section popul encourag use telephonebas health servic

Resumos Similares

Health Informatics J - Factors influencing Internet usage in older adults (65 years and above) living in rural and urban Sweden. ( 0,833071973098229 )
Int J Health Geogr - Changing patterns in the association between regional socio-economic context and dental caries experience according to gender and age: a multilevel study in Korean adults. ( 0,7608078152533 )
Telemed J E Health - Men calling healthline. ( 0,753133694582508 )
Int J Health Geogr - Spatial epidemiology of dry eye disease: findings from South Korea. ( 0,750345546109714 )
Int J Health Geogr - Spatial autocorrelation in uptake of antenatal care and relationship to individual, household and village-level factors: results from a community-based survey of pregnant women in six districts in western Kenya. ( 0,744009642184501 )
J. Med. Internet Res. - The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/Internet use. ( 0,74384035237555 )
Int J Med Inform - Perspectives on wellness self-monitoring tools for older adults. ( 0,74299820577095 )
J. Med. Internet Res. - Computer skills and internet use in adults aged 50-74 years: influence of hearing difficulties. ( 0,736782641320888 )
Spat Spatiotemporal Epidemiol - Imputational modeling of spatial context and social environmental predictors of walking in an underserved community: the PATH trial. ( 0,736735564197313 )
Med Decis Making - Subjective numeracy and preference to stay with the status quo. ( 0,731352021607648 )
Int J Health Geogr - Association of duration of residence in the southeastern United States with chronic kidney disease may differ by race: the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study. ( 0,729858426746701 )
Spat Spatiotemporal Epidemiol - The association between the density of retail tobacco outlets, individual smoking status, neighbourhood socioeconomic status and school locations in New South Wales, Australia. ( 0,725307029342039 )
J. Med. Internet Res. - Relationship between health service use and health information technology use among older adults: analysis of the US National Health Interview Survey. ( 0,718478298371063 )
Comput Math Methods Med - Association of perceived stress with stressful life events, lifestyle and sociodemographic factors: a large-scale community-based study using logistic quantile regression. ( 0,712214892320394 )
J. Med. Internet Res. - Online health-searching behavior among HIV-seropositive and HIV-seronegative men who have sex with men in the Baltimore and Washington, DC area. ( 0,707835295171393 )
Int J Health Geogr - Geospatial analysis of HIV-Related social stigma: a study of tested females across mandals of Andhra Pradesh in India. ( 0,707171256486036 )
J Telemed Telecare - Paediatric health calls to Swedish telenurses: a descriptive study of content and outcome. ( 0,705884489330167 )
Int J Health Geogr - Characteristics of residential areas and transportational walking among frail and non-frail Dutch elderly: does the size of the area matter? ( 0,700379490425639 )
J. Med. Internet Res. - Baby boomers' adoption of consumer health technologies: survey on readiness and barriers. ( 0,696670730559375 )
Med Biol Eng Comput - Quantitative geometric analysis of rib, costal cartilage and sternum from childhood to teenagehood. ( 0,69488240452221 )
Int J Health Geogr - Geographic variations in access and utilization of cancer screening services: examining disparities among American Indian and Alaska Native Elders. ( 0,693425711733554 )
J Am Med Inform Assoc - Social disparities in internet patient portal use in diabetes: evidence that the digital divide extends beyond access. ( 0,6873465915411 )
Int J Health Geogr - Neighborhood level risk factors for type 1 diabetes in youth: the SEARCH case-control study. ( 0,685212086046745 )
Comput Math Methods Med - Use of CHAID decision trees to formulate pathways for the early detection of metabolic syndrome in young adults. ( 0,681466208429527 )
J. Med. Internet Res. - Determinants of follow-up participation in the Internet-based European influenza surveillance platform Influenzanet. ( 0,679892956216503 )
J. Med. Internet Res. - Patient ability and willingness to participate in a web-based intervention to improve hypertension control. ( 0,673509672797919 )
Int J Health Geogr - Association between proximity to and coverage of traditional fast-food restaurants and non-traditional fast-food outlets and fast-food consumption among rural adults. ( 0,671131174083496 )
Med Decis Making - Health-Related Quality of Life in HIV-Infected and At-Risk Women: The Impact of Illicit Drug Use and Hepatitis C on a Community Preference Weighted Measure. ( 0,668737446034993 )
Comput. Biol. Med. - Neural network analysis of employment history as a risk factor for prostate cancer. ( 0,667597854284763 )
Int J Comput Assist Radiol Surg - Use of normative distribution of gray to white matter ratio in orthogonal planes in human brain studies and computer-assisted neuroradiology. ( 0,665064221066779 )
Healthc (Amst) - A potential new data source for assessing the impacts of health reform: Evaluating the Gallup-Healthways Well-Being Index. ( 0,663555933818598 )
Int J Health Geogr - The proportion of youths' physical inactivity attributable to neighbourhood built environment features. ( 0,660276802298056 )
Telemed J E Health - Older people's attitudes toward interactive voice response systems. ( 0,657802847200436 )
Comput. Biol. Med. - Indicators of hypertriglyceridemia from anthropometric measures based on data mining. ( 0,654819096693 )
Methods Inf Med - Health providers' perceptions of novel approaches to visualizing integrated health information. ( 0,6533515572363 )
Int J Health Geogr - People living in hilly residential areas in metropolitan Perth have less diabetes: spurious association or important environmental determinant? ( 0,651896006908069 )
Int J Health Geogr - A case-referent study: light at night and breast cancer risk in Georgia. ( 0,649337244945881 )
J. Med. Internet Res. - Impact of the presence of medical equipment in images on viewers' perceptions of the trustworthiness of an individual on-screen. ( 0,647981774349135 )
J Clin Monit Comput - Influence of age and gender on autonomic regulation of heart. ( 0,644029385584498 )
Methods Inf Med - Early illness recognition using in-home monitoring sensors and multiple instance learning. ( 0,64401665633149 )
J. Med. Internet Res. - How an online intervention to prevent excessive gestational weight gain is used and by whom: a randomized controlled process evaluation. ( 0,643922029901073 )
J. Med. Internet Res. - Subdividing the digital divide: differences in internet access and use among rural residents with medical limitations. ( 0,639307539161604 )
AMIA Annu Symp Proc - Integrating public data sets for analysis of maternal airborne environmental exposures and stillbirth. ( 0,635647925214787 )
Int J Med Inform - Older adults: are they ready to adopt health-related ICT? ( 0,634793140827529 )
Med Biol Eng Comput - Quantitative differences in intervertebral disc-matrix composition with age-related degeneration. ( 0,633744859108101 )
J Clin Monit Comput - Effective hypertensive treatment using data mining in Saudi Arabia. ( 0,633466747731819 )
Comput. Biol. Med. - A preliminary study on the differences in male and female muscle force distribution patterns during squatting and lunging maneuvers. ( 0,632169879090377 )
Med Decis Making - Numbers matter to informed patient choices: a randomized design across age and numeracy levels. ( 0,630445423843848 )
J. Med. Internet Res. - Personal health record reach in the Veterans Health Administration: a cross-sectional analysis. ( 0,623903051896756 )
Telemed J E Health - Characteristics of patients who seek care via eVisits instead of office visits. ( 0,622849842977558 )
Methods Inf Med - Statistical process control for monitoring standardized mortality ratios of a classification tree model. ( 0,622552093185727 )
Spat Spatiotemporal Epidemiol - Multilevel spatiotemporal change-point models for evaluating the effect of an alcohol outlet control policy on changes in neighborhood assaultive violence rates. ( 0,621438352923149 )
Med Decis Making - Thinking about numbers is not my idea of fun: need for cognition mediates age differences in numeracy performance. ( 0,621396026132939 )
Int J Health Geogr - Mercury in fish and adverse reproductive outcomes: results from South Carolina. ( 0,62077748687804 )
Int J Health Geogr - Neighborhood food environment and body mass index among Japanese older adults: results from the Aichi Gerontological Evaluation Study (AGES). ( 0,618310675869906 )
J. Med. Internet Res. - Online schools and children with special health and educational needs: comparison with performance in traditional schools. ( 0,617834732772371 )
J. Med. Internet Res. - Impact of internet use on loneliness and contact with others among older adults: cross-sectional analysis. ( 0,616764168624496 )
Int J Health Geogr - Geoadditive models to assess spatial variation of HIV infections among women in local communities of Durban, South Africa. ( 0,614812846717448 )
Int J Health Geogr - Diabetes and the socioeconomic and built environment: geovisualization of disease prevalence and potential contextual associations using ring maps. ( 0,613352871113794 )
AMIA Annu Symp Proc - Facilitating Clinical Research through the Health Information Exchange: Lipid Control as an Example. ( 0,610252946757612 )
Telemed J E Health - Comparative effectiveness study to assess two examination modalities used to detect dental caries in preschool urban children. ( 0,60874117122966 )
J. Med. Internet Res. - Recruitment via the Internet and social networking sites: the 1989-1995 cohort of the Australian Longitudinal Study on Women's Health. ( 0,608715279858641 )
Telemed J E Health - E-health use in african american internet users: can new tools address old disparities? ( 0,607744149327949 )
Int J Health Geogr - Choice in maternity care: associations with unit supply, geographic accessibility and user characteristics. ( 0,607471155732101 )
BMC Med Inform Decis Mak - Increasing utilization of Internet-based resources following efforts to promote evidence-based medicine: a national study in Taiwan. ( 0,605822317777581 )
Int J Health Geogr - Spatial association of racial/ethnic disparities between late-stage diagnosis and mortality for female breast cancer: where to intervene? ( 0,605634549214143 )
Int J Health Geogr - A spatial analysis of variations in health access: linking geography, socio-economic status and access perceptions. ( 0,603475532560837 )
J. Med. Internet Res. - Who participates in Web-assisted tobacco interventions? The QUIT-PRIMO and National Dental Practice-Based Research Network Hi-Quit studies. ( 0,603089514401884 )
Int J Med Inform - Innovations in health care services: the CAALYX system. ( 0,601555338921912 )
J. Med. Internet Res. - Internet use among older adults: association with health needs, psychological capital, and social capital. ( 0,601458119668769 )
Int J Health Geogr - Older adults' transportation walking: a cross-sectional study on the cumulative influence of physical environmental factors. ( 0,600996452713384 )
Int J Health Geogr - How well do modelled routes to school record the environments children are exposed to? A cross-sectional comparison of GIS-modelled and GPS-measured routes to school. ( 0,59746105369374 )
J. Med. Internet Res. - Using a geolocation social networking application to calculate the population density of sex-seeking gay men for research and prevention services. ( 0,595795740919426 )
BMC Med Inform Decis Mak - Community-level determinants of obesity: harnessing the power of electronic health records for retrospective data analysis. ( 0,595125310303216 )
Telemed J E Health - Improving older adults' experience with interactive voice response systems. ( 0,595017781305951 )
Int J Health Geogr - Spatial variability of climate effects on ischemic heart disease hospitalization rates for the period 1989-2006 in Quebec, Canada. ( 0,594839797894934 )
Int J Health Geogr - Accessibility to health care facilities in Montreal Island: an application of relative accessibility indicators from the perspective of senior and non-senior residents. ( 0,594018813419253 )
Telemed J E Health - A retrospective study on patient characteristics and telehealth alerts indicative of key medical events for heart failure patients at a home health agency. ( 0,592182281399774 )
Med Decis Making - The utility of childhood and adolescent obesity assessment in relation to adult health. ( 0,590878309699768 )
BMC Med Inform Decis Mak - Medication effectiveness may not be the major reason for accepting cardiovascular preventive medication: a population-based survey. ( 0,584802152696065 )
Int J Health Geogr - Generating GPS activity spaces that shed light upon the mobility habits of older adults: a descriptive analysis. ( 0,583668506690922 )
BMC Med Inform Decis Mak - Detecting referral and selection bias by the anonymous linkage of practice, hospital and clinic data using Secure and Private Record Linkage (SAPREL): case study from the evaluation of the Improved Access to Psychological Therapy (IAPT) service. ( 0,582915848721096 )
Med Decis Making - Rating the preferences for potential harms of treatments for cardiovascular disease: a survey of community-dwelling adults. ( 0,582673032430693 )
BMC Med Inform Decis Mak - Combinational risk factors of metabolic syndrome identified by fuzzy neural network analysis of health-check data. ( 0,581344449777127 )
Int J Med Inform - Older adults' perceptions of technologies aimed at falls prevention, detection or monitoring: a systematic review. ( 0,57678418159169 )
Int J Health Geogr - Geographical variation of unmet medical needs in Italy: a multivariate logistic regression analysis. ( 0,572460342184062 )
Med Biol Eng Comput - Recurring patterns in stationary intervals of abdominal uterine electromyograms during gestation. ( 0,572117362366077 )
J Innov Health Inform - Characteristics of electronic patient-provider messaging system utilisation in an urban health care organisation. ( 0,571876008129996 )
J Am Med Inform Assoc - Use of the internet and an online personal health record system by US veterans: comparison of Veterans Affairs mental health service users and other veterans nationally. ( 0,569561473161577 )
Int J Health Geogr - Spatial epidemiology of hospital-diagnosed brucellosis in Kampala, Uganda. ( 0,567571326480698 )
Int J Health Geogr - Mapping for maternal and newborn health: the distributions of women of childbearing age, pregnancies and births. ( 0,56708417975164 )
Spat Spatiotemporal Epidemiol - A spatial measure of neighborhood level racial isolation applied to low birthweight, preterm birth, and birthweight in North Carolina. ( 0,567071375683099 )
J Telemed Telecare - Teleconsulting for minor head injury: the Piedmont experience. ( 0,566356621126413 )
J. Med. Internet Res. - What are young adults saying about mental health? An analysis of Internet blogs. ( 0,561381181209866 )
Int J Med Inform - Improved HIV-related outcomes associated with implementation of a novel public health information exchange. ( 0,560953559936839 )
Telemed J E Health - Understanding gender differences in m-health adoption: a modified theory of reasoned action model. ( 0,559519570335527 )
J Clin Monit Comput - Isocapnic hyperpnea with a portable device in Cystic Fibrosis: an agreement study between two different set-up modalities. ( 0,558770236867815 )
Perspect Health Inf Manag - Health information technology and physician career satisfaction. ( 0,558590340645532 )
Comput. Biol. Med. - Results on mining NHANES data: a case study in evidence-based medicine. ( 0,558488497925555 )
J. Med. Internet Res. - Web-based recruiting for health research using a social networking site: an exploratory study. ( 0,558315360071784 )