Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England

Natalie Adams; Tanith C. Rose; Alex Elliot; Gillian Smith; Roger Morbey; Paul Loveridge; James Lewis; Gareth Studdard; Mara Violato; Sarah J. O'Brien; Margaret Whitehead; David C. Taylor-Robinson; Jeremy Hawker; Benjamin Barr

doi:10.1016/j.jinf.2018.09.008

Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England

Natalie Adams^*
, Tanith C. Rose
, Alex Elliot
, Gillian Smith
, Roger Morbey
, Paul Loveridge
, James Lewis
, Gareth Studdard
, Mara Violato
, Sarah J. O'Brien
, Margaret Whitehead
, David C. Taylor-Robinson
, Jeremy Hawker
, Benjamin Barr

^*Corresponding author for this work

National Field Services (Midlands)

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Objectives: Gastrointestinal (GI) infections are common and most people do not see a physician. There is conflicting evidence of the impact of socioeconomic status (SES) on risk of GI infections. We assessed the relationship between SES and GI calls to two National Health Service (NHS) telephone advice services in England. Methods: Over 24 million calls to NHS Direct (2010–13) and NHS 111 (2013–15) were extracted from Public Health England (PHE) syndromic surveillance systems. The relationship between SES and GI calls was assessed using generalised linear models (GLM). Results: Adjusting for rurality and age-sex interactions, in NHS Direct, children in disadvantaged areas were at lower risk of GI calls; in NHS 111 there was a higher risk of GI calls in disadvantaged areas for all ages (0–4 years RR 1.27, 95% CI 1.25–1.29; 5–9 years RR 1.43, 95% CI 1.36–1.51; 10–14 years RR 1.36, 95% CI 1.26–1.41; 15–19 years RR 1.59, 95% CI 1.52–1.67; 20–59 years RR 1.50, 95% CI 1.47–1.53, 60 years and over RR 1.12, 95% CI 1.09–1.14). Conclusions: Disadvantaged areas had higher risk of GI calls in NHS 111. This may relate to differences in exposure or vulnerability to GI infections, or propensity to call about GI infections.

Original language	English
Pages (from-to)	95-100
Number of pages	6
Journal	Journal of Infection
Volume	78
Issue number	2
DOIs	https://doi.org/10.1016/j.jinf.2018.09.008
Publication status	Published - Feb 2019

Bibliographical note

Funding Information:
This work was funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU 201210,038) in Gastrointestinal Infections. The authors would like to acknowledge support from NHS 111 and NHS Digital and also the help of the Public Health England Real-time Syndromic Surveillance Team.

Funding Information:
The research was funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Gastrointestinal Infections at University of Liverpool in partnership with Public Health England (PHE), in collaboration with University of East Anglia, University of Oxford and the Quadram Institute. Natalie Adams is based at the University of Liverpool and Public Health England. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR, the Department of Health and Social Care or Public Health England. David Taylor-Robinson is funded by the MRC on a Clinician Scientist Fellowship (MR/P008577/1). Ben Barr and Tanith Rose were also supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Health Research and Care (CLAHRC NWC).

Publisher Copyright:
© 2018 The British Infection Association

Keywords

Diarrhoea
Inequalities
Syndromic surveillance
Vomiting

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jinf.2018.09.008

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Adams, N., Rose, T. C., Elliot, A., Smith, G., Morbey, R., Loveridge, P., Lewis, J., Studdard, G., Violato, M., O'Brien, S. J., Whitehead, M., Taylor-Robinson, D. C., Hawker, J., & Barr, B. (2019). Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England. Journal of Infection, 78(2), 95-100. https://doi.org/10.1016/j.jinf.2018.09.008

@article{7f61752ff4824f3088b2ed70cfa77541,

title = "Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England",

abstract = "Objectives: Gastrointestinal (GI) infections are common and most people do not see a physician. There is conflicting evidence of the impact of socioeconomic status (SES) on risk of GI infections. We assessed the relationship between SES and GI calls to two National Health Service (NHS) telephone advice services in England. Methods: Over 24 million calls to NHS Direct (2010–13) and NHS 111 (2013–15) were extracted from Public Health England (PHE) syndromic surveillance systems. The relationship between SES and GI calls was assessed using generalised linear models (GLM). Results: Adjusting for rurality and age-sex interactions, in NHS Direct, children in disadvantaged areas were at lower risk of GI calls; in NHS 111 there was a higher risk of GI calls in disadvantaged areas for all ages (0–4 years RR 1.27, 95\% CI 1.25–1.29; 5–9 years RR 1.43, 95\% CI 1.36–1.51; 10–14 years RR 1.36, 95\% CI 1.26–1.41; 15–19 years RR 1.59, 95\% CI 1.52–1.67; 20–59 years RR 1.50, 95\% CI 1.47–1.53, 60 years and over RR 1.12, 95\% CI 1.09–1.14). Conclusions: Disadvantaged areas had higher risk of GI calls in NHS 111. This may relate to differences in exposure or vulnerability to GI infections, or propensity to call about GI infections.",

keywords = "Diarrhoea, Inequalities, Syndromic surveillance, Vomiting",

author = "Natalie Adams and Rose, \{Tanith C.\} and Alex Elliot and Gillian Smith and Roger Morbey and Paul Loveridge and James Lewis and Gareth Studdard and Mara Violato and O'Brien, \{Sarah J.\} and Margaret Whitehead and Taylor-Robinson, \{David C.\} and Jeremy Hawker and Benjamin Barr",

note = "Funding Information: This work was funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU 201210,038) in Gastrointestinal Infections. The authors would like to acknowledge support from NHS 111 and NHS Digital and also the help of the Public Health England Real-time Syndromic Surveillance Team. Funding Information: The research was funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Gastrointestinal Infections at University of Liverpool in partnership with Public Health England (PHE), in collaboration with University of East Anglia, University of Oxford and the Quadram Institute. Natalie Adams is based at the University of Liverpool and Public Health England. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR, the Department of Health and Social Care or Public Health England. David Taylor-Robinson is funded by the MRC on a Clinician Scientist Fellowship (MR/P008577/1). Ben Barr and Tanith Rose were also supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Health Research and Care (CLAHRC NWC). Publisher Copyright: {\textcopyright} 2018 The British Infection Association",

year = "2019",

month = feb,

doi = "10.1016/j.jinf.2018.09.008",

language = "English",

volume = "78",

pages = "95--100",

journal = "Journal of Infection",

issn = "0163-4453",

publisher = "W.B. Saunders Ltd",

number = "2",

}

Adams, N, Rose, TC, Elliot, A, Smith, G, Morbey, R, Loveridge, P , Lewis, J, Studdard, G, Violato, M, O'Brien, SJ, Whitehead, M, Taylor-Robinson, DC, Hawker, J & Barr, B 2019, 'Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England', Journal of Infection, vol. 78, no. 2, pp. 95-100. https://doi.org/10.1016/j.jinf.2018.09.008

TY - JOUR

T1 - Social patterning of telephone health-advice for diarrhoea and vomiting

T2 - analysis of 24 million telehealth calls in England

AU - Adams, Natalie

AU - Rose, Tanith C.

AU - Elliot, Alex

AU - Smith, Gillian

AU - Morbey, Roger

AU - Loveridge, Paul

AU - Lewis, James

AU - Studdard, Gareth

AU - Violato, Mara

AU - O'Brien, Sarah J.

AU - Whitehead, Margaret

AU - Taylor-Robinson, David C.

AU - Hawker, Jeremy

AU - Barr, Benjamin

N1 - Funding Information: This work was funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU 201210,038) in Gastrointestinal Infections. The authors would like to acknowledge support from NHS 111 and NHS Digital and also the help of the Public Health England Real-time Syndromic Surveillance Team. Funding Information: The research was funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Gastrointestinal Infections at University of Liverpool in partnership with Public Health England (PHE), in collaboration with University of East Anglia, University of Oxford and the Quadram Institute. Natalie Adams is based at the University of Liverpool and Public Health England. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR, the Department of Health and Social Care or Public Health England. David Taylor-Robinson is funded by the MRC on a Clinician Scientist Fellowship (MR/P008577/1). Ben Barr and Tanith Rose were also supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Health Research and Care (CLAHRC NWC). Publisher Copyright: © 2018 The British Infection Association

PY - 2019/2

Y1 - 2019/2

N2 - Objectives: Gastrointestinal (GI) infections are common and most people do not see a physician. There is conflicting evidence of the impact of socioeconomic status (SES) on risk of GI infections. We assessed the relationship between SES and GI calls to two National Health Service (NHS) telephone advice services in England. Methods: Over 24 million calls to NHS Direct (2010–13) and NHS 111 (2013–15) were extracted from Public Health England (PHE) syndromic surveillance systems. The relationship between SES and GI calls was assessed using generalised linear models (GLM). Results: Adjusting for rurality and age-sex interactions, in NHS Direct, children in disadvantaged areas were at lower risk of GI calls; in NHS 111 there was a higher risk of GI calls in disadvantaged areas for all ages (0–4 years RR 1.27, 95% CI 1.25–1.29; 5–9 years RR 1.43, 95% CI 1.36–1.51; 10–14 years RR 1.36, 95% CI 1.26–1.41; 15–19 years RR 1.59, 95% CI 1.52–1.67; 20–59 years RR 1.50, 95% CI 1.47–1.53, 60 years and over RR 1.12, 95% CI 1.09–1.14). Conclusions: Disadvantaged areas had higher risk of GI calls in NHS 111. This may relate to differences in exposure or vulnerability to GI infections, or propensity to call about GI infections.

AB - Objectives: Gastrointestinal (GI) infections are common and most people do not see a physician. There is conflicting evidence of the impact of socioeconomic status (SES) on risk of GI infections. We assessed the relationship between SES and GI calls to two National Health Service (NHS) telephone advice services in England. Methods: Over 24 million calls to NHS Direct (2010–13) and NHS 111 (2013–15) were extracted from Public Health England (PHE) syndromic surveillance systems. The relationship between SES and GI calls was assessed using generalised linear models (GLM). Results: Adjusting for rurality and age-sex interactions, in NHS Direct, children in disadvantaged areas were at lower risk of GI calls; in NHS 111 there was a higher risk of GI calls in disadvantaged areas for all ages (0–4 years RR 1.27, 95% CI 1.25–1.29; 5–9 years RR 1.43, 95% CI 1.36–1.51; 10–14 years RR 1.36, 95% CI 1.26–1.41; 15–19 years RR 1.59, 95% CI 1.52–1.67; 20–59 years RR 1.50, 95% CI 1.47–1.53, 60 years and over RR 1.12, 95% CI 1.09–1.14). Conclusions: Disadvantaged areas had higher risk of GI calls in NHS 111. This may relate to differences in exposure or vulnerability to GI infections, or propensity to call about GI infections.

KW - Diarrhoea

KW - Inequalities

KW - Syndromic surveillance

KW - Vomiting

UR - https://www.scopus.com/pages/publications/85054148263

U2 - 10.1016/j.jinf.2018.09.008

DO - 10.1016/j.jinf.2018.09.008

M3 - Article

C2 - 30267800

AN - SCOPUS:85054148263

SN - 0163-4453

VL - 78

SP - 95

EP - 100

JO - Journal of Infection

JF - Journal of Infection

IS - 2

ER -

Social patterning of telephone health-advice for diarrhoea and vomiting: analysis of 24 million telehealth calls in England

Abstract

Bibliographical note

Keywords

UN SDGs

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