OBJECTIVE: Identification of primary care factors associated with hospital admissions for @entity137 ( @entity137 ). DESIGN AND SETTING: Cross-sectional analysis of 2010-2012 data from all National Health Service hospitals and 7664 of 8358 general practices in England. METHOD: We identified all hospital episodes with an @entity66 ( @entity66 ) 10 code indicative of an @entity3105 , in the 2010-2012 English @entity580 ( @entity580 ) admissions database. These episodes were linked to contemporary data describing the associated general practice, including general practitioner (GP) and @entity1 demographics, an estimate of overall @entity1 population morbidity, measures of primary care supply, and Quality and Outcomes Framework (QOF) quality scores. Poisson regression models were used to examine associations between primary care factors and @entity3105 -related episode rates. RESULTS: 212   813 @entity3105 -related @entity580 episodes were identified. Rates of episodes were relatively high among the very young, older and female subgroups. In fully adjusted models, the following primary care factors were associated with increased likelihood of episode: higher deprivation scores (population attributable fraction (PAF)=0.084, 95% CI 0.067 to 0.100) and relatively poor glycated haemoglobin (HbA1c) control among @entity1 with @entity6 (PAF=0.372; 0.218 to 0.496). The following were associated with reduced episode likelihood: lower GP supply (PAF=-0.016; -0.026 to -0.005), a lower proportion of GPs with UK qualifications (PAF=-0.035; -0.058 to -0.012), lower total QOF achievement rates (PAF=-0.021; -0.042 to 0.000) and relatively poor blood pressure control among @entity1 with @entity6 (PAF=-0.144; -0.280 to -0.022). CONCLUSIONS: Various aspects of primary care are associated with @entity3105 -related hospital episodes, including achievement of particular QOF indicators. Further investigation with individual level data would help develop understanding of the associations identified. Interventions in primary care could help reduce the @entity3105 burden. @entity137 are candidates for primary care sensitive conditions.

Are primary care factors associated with hospital episodes for XXXX ? A national observational study.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity137 :: ('MESH:D064420', 'Disease') :: ['adverse drug reactions', 'ADRs'] @entity66 :: ('MESH:D004194', 'Disease') :: ['ICD', 'International Classification of Diseases'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetes'] @entity580 :: ('MESH:D003428', 'Disease') :: ['HES', 'Hospital Episode Statistics'] @entity3105 :: ('D004317', 'Chemical') :: ['ADR']
@entity137 :: (MESH:D064420,Disease) :: ['adverse drug reactions']
