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What effect do point of care fees have on childhood consultations in general practice?

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dc.contributor.author O'Regan, Andrew
dc.contributor.author Cullen, Walter
dc.contributor.author O'Gorman, Clodagh S.
dc.contributor.author Hickey, Louise
dc.contributor.author O'Neill, Eimear
dc.contributor.author O'Doherty, Jane
dc.contributor.author Hannigan, Ailish
dc.date.accessioned 2019-01-04T14:41:53Z
dc.date.available 2019-01-04T14:41:53Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/7448
dc.description peer-reviewed en_US
dc.description.abstract Background: General practice (GP) has historically been central to the prevention and treatment of childhood illnesses. In Ireland, this role has recently expanded with the introduction of free GP care for children aged under six years in 2015. The Republic of Ireland has the only health system in the European Union which does not offer universal coverage for primary care. This study aims to analyse general practice records to investigate the effect of point of care consultation fees on childhood attendances. Methods: GPs affiliated to the medical school (n = 72) were invited to participate. 100 children aged 1 to 14 years were randomly sampled from each. Data was collected on service utilisation in the previous 12 months, specifically: age, gender, eligibility for free care and whether they had consulted their GP in the 12 month period. Results: Sixty-four practices participated, producing data on 6007 eligible children. The median age of children was seven years; 3688(62%) were ‘fee-paying’. GMS patients aged under six years had a median of three consultations/ year, with a quarter attending six times a year or more, while fee paying patients had a median of two consultations/ year with a quarter attending four times a year or more. Conclusions: Children eligible for free care attend more often with a subgroup attending very frequently. This study provides important information on the possible impact of fees on healthcare utilisation for countries considering copayment. en_US
dc.language.iso eng en_US
dc.publisher BMC en_US
dc.relation.ispartofseries BMC Health Services Research;18: 979
dc.relation.uri https://doi.org/10.1186/s12913-018-3800-8
dc.subject health planning en_US
dc.subject general practice en_US
dc.subject healthcare systems en_US
dc.subject primary healthcare en_US
dc.subject paediatrics en_US
dc.title What effect do point of care fees have on childhood consultations in general practice? en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1186/s12913-018-3800-8
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2869210


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