RCGP Research and Surveillance Centre Annual Report 2014-2015: Disparities in presentations to primary care

Simon De Lusignan*, Ana Correa, Sameera Pathirannehelage, Rachel Byford, Ivelina Yonova, Alex J. Elliot, Theresa Lamagni, Gayatri Amirthalingam, Richard Pebody, Gillian Smith, Simon Jones, Imran Rafi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)

Abstract

Background The Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) comprises over 100 general practices in England, with a population of around 1 million, providing a public health surveillance system for England and data for research. Aim To demonstrate the scope of data with the RCGP Annual Report 2014-2015 (May 2014 to April 2015) by describing disparities in the presentation of six common conditions included in the report. Design and setting This is a report of respiratory and communicable disease incidence from a primary care sentinel network in England. Method Incidence rates and demographic profiles are described for common cold, acute otitis media, pneumonia, influenza-like illness, herpes zoster, and scarlet fever. The impact of age, sex, ethnicity, and deprivation on the diagnosis of each condition is explored using a multivariate logistic regression. Results With the exception of herpes zoster, all conditions followed a seasonal pattern. Apart from pneumonia and scarlet fever, the odds of presenting with any of the selected conditions were greater for females (P<0.001). Older people had a greater probability of a pneumonia diagnosis (≥75 years, odds ratio [OR] 6.37; P<0.001). Common cold and influenza-like illness were more likely in people from ethnic minorities than white people, while the converse was true for acute otitis media and herpes zoster. There were higher odds of acute otitis media and herpes zoster diagnosis among the less deprived (least deprived quintile, OR 1.32 and 1.48, respectively; P<0.001). Conclusion The RCGP RSC database provides insight into the content and range of GP workload and provides insight into current public health concerns. Further research is needed to explore these disparities in presentation to primary care.

Original languageEnglish
Pages (from-to)e29-e40
JournalBritish Journal of General Practice
Volume67
Issue number654
DOIs
Publication statusPublished - Jan 2017

Bibliographical note

Publisher Copyright:
© British Journal of General Practice.

Keywords

  • Common cold
  • Computerised
  • General practice
  • Herpes zoster
  • Human influenza
  • Medical records systems
  • Otitis media
  • Pneumonia
  • Scarlet fever

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