An rates recall by affected be may consequently and survey a on based currentlyare

which rates consultation GP Irish official verify to records administrative GP of audit

W. Ireland. Co.Cork. Mallow. Molony, D. 12. Dublin Behan, WONCA, 2013 Prague,

Background:

••

•

sResult

•

•

•

•

nurses. practice full-time 4 and assistants/locums

1.75 principles, GMS full-time 5 staff: Clinical

20%). ratio: (national 70 over

aged is study this in population GMS the of 29.5%

2007). Q.3 QNHS CSO attendances/0.67;

patent private (unique 7,140 is population private estimated The

41.9%) ratio: national (37.2%; 4,232

comprised

consultations)GP free to entitled patients (Public GMS

(i):

The

for adults

older. are who those and years 70 of age the under similar

are rates consultation patient public that imply also surveys CSO 2010 and 2007 records practices 525 of audit QRESEARCH 2008 the in rates attendance UK

Executive Service Health Irish the by annually published and records administrative on based rates attendance GP contract Fee-per-item

weeks 2 previous the over consultations of recollection on based is which data 2001 CSO than: rates attendance lower much produces methodologyCSO survey 2010 and 2007The

for weeks. 4 previous the over consultations

doctor their recollect to interviewed persons appropriateit considered which 2006 and 2003 between developed Survey Interview HealthEuropean the with variance at is methodology Thismonths. 12 previous the over consultations of recollection on based are They (CSO). Office Statistics Central the by

produced is which (NQHS) Survey Household Quarterly National 2010 and 2007 the from come rates Consultation GP Patient Adult Irish Official

year.

Methods:

•••

We administration. other or prescriptions, repeat results, for looking

calls telephone as such contacts annual patient 25,000 approximately include not did visits domiciliary of numbers minimal the of estimation •

consultations telephone of numbers minimal the of estimation practice one of contacts hours of out the of extrapolation

practices both in list appointment the from: directly calculated were contactsClinic

qualify. not did administration other or prescriptions repeat results, for looking calls telephone Patient CSO. the and audit QRESEARCH 2008 UK the

as same the were 21/10/2011 on concluding months 12 the in contactsclinic qualifying for criteria The deprivation. social average of areas catchment rural and urbanboth

encompass which practices 2 in rates consultation annual the of audit An (i)

Results It

•

•••

17% by consultations estimated under patients private and public Both 29% by figure consultation their estimated under patients older and old year 75

22% by consultations of number their estimated under olds year 65-74 accurately

year previous the over consultations of number their estimated generally 65 of age the under Patients under-represented. slightly is rate consultation annual

total true the therefore and recorded were consultations telephone all not that probable is (ii):

Objective:by

(ii) previous . records administrative with correlated reliably months 12

the over attendances GP of recollection patient if determine To survey. CSO 2010 and 2007 the

estimated as low as are rates consultation GP Irish if determine To (i)

Methods:

We shown. had records our what to answer their compared we later and status, GMS and age, answer, their of record a kept interview. to prior period 12-month the during practice the with results) for telephoning (excluding consultation telephone or domiciliary,

surgery, a had they times many how asked were They practice. 12 Dublin the attended who patents adult consecutive 173 of survey A (ii)

There

results. unreliable very to lead will work-load future plan to data official current utilising so Ireland, inrapidlyexpanding is that population a is This patients. public exclusively almost are who older, and 70 aged patients affects predominantly This months. 12 previous the over had they consultations of number the recall reliably to ability patients’ affects that recollection of degradation clear a be to appears

Conclusion:included

••

• • 42% least at by under-reflected are attendances patient older and years 70 27% by under-reflected are attendances old year 70 Under 24% by under-reflected are attendances patient Private 37% by under-reflected are attendances patient Public •

33% least at by under-reflected be to seem attendances patient All older )and 70 aged(1,481 11,372 of population patient a of .audit this and records patient million 4.3 of audit QRESEARCH UK 2008 2011; in Practice Family in published older and 70 aged patients 1,025 which records GP of audit Galway NUI, Practice, General of Department figures; contract fee-per-item

GP HSE annual survey; CSO 2001 the in figures the to comparison in rates attendance lower much reports data CSO 2010 and 2007

• 11,372. of population patient combined Total