Getting a handle on the general practice workforce in Ireland

Teljeur, Conor; Tyrrell, Ella; Kelly, Alan; O’Dowd, Tom; Thomas, Stephen

doi:10.1007/s11845-013-0991-1

Cited by 28 publications

(33 citation statements)

References 5 publications

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“…20 This sample of GPs represents approximately 25% of Ireland's total resource of approximately 2900 individual GPs, and therefore a significant cross-section. 21 The results of this study are compared with selected results from an earlier study involving general practice trainees that is reported elsewhere. 19 The UCD Human Research Ethics Committee granted exemption from full ethical review before commencing data collection.…”

Section: Methodsmentioning

confidence: 99%

Opiate addiction and overdose: experiences, attitudes, and appetite for community naloxone provision

et al. 2017

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BackgroundMore than 200 opiate overdose deaths occur annually in Ireland. Overdose prevention and management, including naloxone prescription, should be a priority for healthcare services. Naloxone is an effective overdose treatment and is now being considered for wider lay use.Aim To establish GPs’ views and experiences of opiate addiction, overdose care, and naloxone provision.Design and setting An anonymous postal survey to GPs affiliated with the Department of Academic General Practice, University College Dublin, Ireland.MethodA total of 714 GPs were invited to complete an anonymous postal survey. Results were compared with a parallel GP trainee survey.ResultsA total of 448/714 (62.7%) GPs responded. Approximately one-third of GPs were based in urban, rural, and mixed areas. Over 75% of GPs who responded had patients who used illicit opiates, and 25% prescribed methadone. Two-thirds of GPs were in favour of increased naloxone availability in the community; almost one-third would take part in such a scheme. A higher proportion of GP trainees had used naloxone to treat opiate overdose than qualified GPs. In addition, a higher proportion of GP trainees were willing to be involved in naloxone distribution than qualified GPs. Intranasal naloxone was much preferred to single (P<0.001) or multiple dose (P<0.001) intramuscular naloxone. Few GPs objected to wider naloxone availability, with 66.1% (n = 292) being in favour.ConclusionGPs report extensive contact with people who have opiate use disorders but provide limited opiate agonist treatment. They support wider availability of naloxone and would participate in its expansion. Development and evaluation of an implementation strategy to support GP-based distribution is urgently needed.

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Section: Methodsmentioning

confidence: 99%

Opiate addiction and overdose: experiences, attitudes, and appetite for community naloxone provision

et al. 2017

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“…The data on GP supply had a number of weaknesses. Teljeur et al noted the possibility that the numbers of GPs in Westmeath were overestimated, while the numbers in surrounding counties (especially Meath) may be underestimated, based on how the numbers per county were calculated [9]. The only aspect of population health need that was examined was deprivation.…”

Section: Discussionmentioning

confidence: 99%

“…Discharges for diabetes complications and COPD were identified using the ICD-10-AM codes set-out in Page et al [1], and used by Sheridan et al [7] (see Table 1). Data on GP supply by county for 2011 were obtained from a recent study which drew on multiple sources to estimate the number of whole-time equivalent (WTE) GPs in each county in Ireland [9]. Deprivation levels in each county in Ireland in 2011 were measured using an index developed by the Small Area Health Research Unity (SAHRU) [10].…”

Section: Data and Measuresmentioning

confidence: 99%

GP supply, deprivation and emergency admission to hospital for COPD and diabetes complications in counties across Ireland: an exploratory analysis

Sexton

Bedford

2015

Ir J Med Sci

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“…As with GPs there are more practice nurses per capita in ROI. In ROI there are 0.26 practice nurses per 1,000, this compares with an average of 0.2 in NI (22,28,29).…”

Section: Introductionmentioning

confidence: 92%

A comparison, for older people with diabetes, of health and health care utilisation in two different health systems on the island of Ireland

Pierse

Barry

Glynn

et al. 2020

Preprint

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Background Primary care policies for diabetes have differed between Northern Ireland (NI) and the Republic of Ireland (ROI). In NI, the Quality and Outcomes Framework (QOF) system was adopted in 2004. In ROI, prior to the Cycle of Care programme being established in 2015 specific financial support for GPs providing diabetic primary care was not available. The aims of this study are to compare health and healthcare utilisation among people with diabetes in the NI and ROI.Methods Large scale comparable surveys of people over 50 years of age in Northern Ireland (NICOLA) and the Republic of Ireland (TILDA) are used to compare people with diabetes (Type I and Type II) in the two jurisdictions. The combined data set comprises 1,536 people with diabetes. A coarsened exact matching approach is used to compare health care utilisation among people with diabetes in NI and ROI with equivalent demographic, lifestyle and illness characteristics. ResultsThe overall prevalence in the 50 to 84 years old age group is 3.4 percentage points higher in NI (11.1% in NI, 7.7% ROI, p-value < 0.01). The diabetic population in NI also appear sicker -with more diabetic complications and more chronic illnesses. Comparing people with diabetes in the two jurisdictions with similar levels of illness we find that there are no statistically significant differences in GP, outpatient or A&E utilisation.Conclusion There are a range of factors that influence the quality of primary care for people with diabetes. While the QOF system in Northern Ireland is likely to have improved some aspects of care by providing financial incentives for identification and management, unless accompanied by improved access to care their ability to impact on outcomes may be compromised. 4.Nolan J, O'Halloran D, McKenna T, Firth R, Redmond S. The cost of treating type 2 diabetes (CODEIRE). Irish medical journal. 2006;99(10):307-10. 5. Kanavos P, Aardweg Svd, Schurer W. Diabetes expenditure, burden of disease and management in 5 EU countries. LSE Health, London School of Economics, 2012. 6. Read SH, Kerssens JJ, McAllister DA, Colhoun HM, Fischbacher CM, Lindsay RS, et al. Trends in type 2 diabetes incidence and mortality in Scotland between 2004 and 2013. Diabetologia. 2016;59(10):2106-13. 7. Hex N, Bartlett C, Wright D, Taylor M, Varley D. Estimating the current and future costs of Type 1 and Type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabetic Medicine. 2012;29(7):855-62. 8. Sortsoe C, Green A, Jensen PB, Emneus M. Societal costs of diabetes mellitus in Denmark. Diabetic Medicine. 2016;33(7):877-85. 9. Maghbooli Z, Pasalar P, Keshtkar A, Farzadfar F, Larijani B. Predictive factors of diabetic complications: a possible link between family history of diabetes and diabetic retinopathy. Journal of Diabetes & Metabolic Disorders. 2014;13(1):55. 10. Zoungas S, Woodward M, Li Q, Cooper ME, Hamet P, Harrap S, et al. Impact of age, age at diagnosis and duration of diabetes on the risk of macrovascular and microvascula...

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Getting a handle on the general practice workforce in Ireland

Abstract: In the absence of a centralised register, it is not possible to track the number of GPs or practice nurses working in Ireland at present. This is despite the fact that there are twice as many general practice visits per annum compared to hospital visits.

Cited by 28 publications

References 5 publications

Opiate addiction and overdose: experiences, attitudes, and appetite for community naloxone provision

Opiate addiction and overdose: experiences, attitudes, and appetite for community naloxone provision

GP supply, deprivation and emergency admission to hospital for COPD and diabetes complications in counties across Ireland: an exploratory analysis

A comparison, for older people with diabetes, of health and health care utilisation in two different health systems on the island of Ireland

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