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Cook EJ, Randhawa G, Large S, et al. Young people's use of NHS Direct: a national study of symptoms and outcome of calls for children aged 0-15. BMJ Open. 2013;3(12):e004106doi: 10.1136/bmjopen-2013-004106.
Cook, E. J., Randhawa, G., Large, S., Guppy, A., Chater, A. M., & Pang, D. (2013). Young people's use of NHS Direct: a national study of symptoms and outcome of calls for children aged 0-15. BMJ open, 3(12), e004106. https://doi.org/10.1136/bmjopen-2013-004106
Cook, E J, et al. "Young people's use of NHS Direct: a national study of symptoms and outcome of calls for children aged 0-15." BMJ open vol. 3,12 (2013): e004106. doi: https://doi.org/10.1136/bmjopen-2013-004106
Cook EJ, Randhawa G, Large S, Guppy A, Chater AM, Pang D. Young people's use of NHS Direct: a national study of symptoms and outcome of calls for children aged 0-15. BMJ Open. 2013 Dec 09;3(12):e004106. doi: 10.1136/bmjopen-2013-004106. PMID: 24327365; PMCID: PMC3863119.
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BMJ Open. 2013 Dec 09;3(12):e004106. doi: 10.1136/bmjopen-2013-004106.

Young people's use of NHS Direct: a national study of symptoms and outcome of calls for children aged 0-15.

BMJ open

E J Cook, G Randhawa, S Large, A Guppy, A M Chater, D Pang

Affiliations

  1. Department of Psychology, University of Bedfordshire, Luton, Bedfordshire, UK.

PMID: 24327365 PMCID: PMC3863119 DOI: 10.1136/bmjopen-2013-004106

Abstract

OBJECTIVES: National Health Service (NHS) Direct provides 24/7 expert telephone-based healthcare information and advice to the public in England. However, limited research has explored the reasons to why calls are made on behalf of young people, as such this study aimed to examine call rate (CR) patterns in younger people to enable a better understanding of the needs of this population in England.

SETTING: NHS Direct, England, UK.

PARTICIPANTS AND METHODS: CRs (expressed as calls/100 persons/annum) were calculated for all calls (N=358 503) made to NHS Direct by, or on behalf of, children aged 0-15 during the combined four '1-month' periods within a year (July 2010, October 2010, January 2011 and April 2011). χ² Analysis was used to determine the differences between symptom, outcome and date/time of call.

RESULTS: For infants aged <1, highest CRs were found for 'crying' for male (n=14, 440, CR=13.61) and female (n=13 654, CR=13.46) babies, which is used as a universal assessment applied to all babies. High CRs were also found for symptoms relating to 'skin/hair/nails' and 'colds/flu/sickness' for all age groups, whereby NHS Direct was able to support patients to self-manage and provide health information for these symptoms for 59.7% and 51.4% of all cases, respectively. Variations in CRs were found for time and age, with highest peaks found for children aged 4-15 in the 15:00-23:00 period and in children aged <1 in the 7:00-15:00 period.

CONCLUSIONS: This is the first study to examine the symptoms and outcome of calls made to NHS Direct for and on behalf of young children. The findings revealed how NHS Direct has supported a range of symptoms through the provision of health information and self-care support which provides important information about service planning and support for similar telephone-based services.

Keywords: Epidemiology; Primary Care; Public Health

References

  1. J Adv Nurs. 2001 Apr;34(2):155-62 - PubMed
  2. Br J Gen Pract. 2005 Aug;55(517):603-8 - PubMed
  3. J Adv Nurs. 2010 Feb;66(2):381-91 - PubMed
  4. Epidemiol Infect. 2006 Feb;134(1):13-20 - PubMed
  5. Br J Gen Pract. 2005 Apr;55(513):287-91 - PubMed
  6. Age Ageing. 2011 May;40(3):335-40 - PubMed
  7. Rev Environ Health. 2008 Jul-Sep;23(3):235-41 - PubMed
  8. Telemed J E Health. 2012 Nov;18(9):693-8 - PubMed
  9. J Antimicrob Chemother. 2007 Sep;60(3):638-44 - PubMed
  10. N Engl J Med. 2000 Jan 20;342(3):186-91 - PubMed
  11. J Public Health (Oxf). 2004 Jun;26(2):158-60 - PubMed
  12. Pediatr Emerg Care. 2009 Apr;25(4):244-8 - PubMed
  13. J Hosp Infect. 2010 Apr;74(4):385-93 - PubMed
  14. J Public Health Med. 2001 Jun;23(2):155-8 - PubMed
  15. Emerg Med J. 2006 Dec;23(12):911-4 - PubMed
  16. Nurse Educ Pract. 2008 Sep;8(5):299-301 - PubMed
  17. Age Ageing. 2013 Jan;42(1):57-62 - PubMed
  18. Arch Dis Child. 2013 May;98(5):328-34 - PubMed
  19. BMC Med. 2008 Jun 26;6:16 - PubMed
  20. J Clin Pharm Ther. 2006 Oct;31(5):461-7 - PubMed
  21. BMJ. 2006 Aug 5;333(7562):279 - PubMed
  22. BMJ. 1998 Feb 14;316(7130):524-7 - PubMed
  23. J Infect. 2007 Sep;55(3):240-8 - PubMed
  24. BMJ. 2009 Jul 29;339:b2885 - PubMed

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