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Patterning in patient referral to and uptake of a National Exercise Referral Scheme (NERS) in Wales from 2008 to 2017: a data linkage study

Morgan, Kelly, Rahman, Muhammad and Moore, Graham 2020. Patterning in patient referral to and uptake of a National Exercise Referral Scheme (NERS) in Wales from 2008 to 2017: a data linkage study. International Journal of Environmental Research and Public Health 17 (11) , 3942. 10.3390/ijerph17113942

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Abstract

Exercise referral schemes have shown small but positive impacts in randomized controlled trials (RCTs). Less is known about the long-term reach of scaled up schemes following a RCT. A RCT of the National Exercise Referral Scheme (NERS) in Wales was completed in 2010, and the scheme scaled up across Wales. In this study, using a retrospective data linkage design, anonymized NERS data were linked to routine health records for referrals between 2008 and 2017. Rates of referral and uptake were modelled across years and a multilevel logistic regression model examined predictors of uptake. In total, 83,598 patients have been referred to the scheme and 67.31% of eligible patients took up NERS. Older adults and referrals for a musculoskeletal or level four condition were more likely to take up NERS. Males, mental health referrals, non-GP referrals and those in the most deprived groupings were less likely to take up NERS. Trends revealed an overall decrease over time in referrals and uptake rates among the most deprived grouping relative to those in the least deprived group. Findings indicate a widening of inequality in referral and uptake following positive RCT findings, both in terms of patient socioeconomic status and referrals for mental health.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Social Sciences (Includes Criminology and Education)
Publisher: MDPI
ISSN: 1661-7827
Date of First Compliant Deposit: 15 June 2020
Date of Acceptance: 30 May 2020
Last Modified: 16 Jun 2020 10:00
URI: http://orca.cf.ac.uk/id/eprint/132449

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