Variations in older people's use of general practitioner consultations and the relationship with mortality rate in Vantaa, Finland in 2003-2014

Show full item record



Permalink

http://hdl.handle.net/10138/309079

Citation

Mustonen , K , Kauppila , T , Rahkonen , O , Kantonen , J , Raina , M , Mäki , T & Pitkälä , K 2019 , ' Variations in older people's use of general practitioner consultations and the relationship with mortality rate in Vantaa, Finland in 2003-2014 ' , Scandinavian Journal of Primary Health Care , vol. 37 , no. 4 , pp. 452-458 . https://doi.org/10.1080/02813432.2019.1684426

Title: Variations in older people's use of general practitioner consultations and the relationship with mortality rate in Vantaa, Finland in 2003-2014
Author: Mustonen, Katri; Kauppila, Timo; Rahkonen, Ossi; Kantonen, Jarmo; Raina, Marko; Mäki, Tiina; Pitkälä, Kaisu
Contributor: University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Doctoral Programme in Social Sciences
University of Helsinki, HUSLAB
University of Helsinki, University Management
Date: 2019-11-08
Language: eng
Number of pages: 7
Belongs to series: Scandinavian Journal of Primary Health Care
ISSN: 0281-3432
URI: http://hdl.handle.net/10138/309079
Abstract: Objective: It is generally expected that the growth of the older population will lead to an increase in the use of health care services. The aim was to examine the changes in the number of visits made to general practitioners (GP) by the older age groups, and whether such changes were associated with changes in mortality rates. Design and setting: A register-based observational study in a Finnish city where a significant increase in the older population took place from 2003 to 2014. The number of GP visits made by the older population was calculated, the visits per person per year in two-year series, together with respective mortality rates. Subjects: The study population consisted of inhabitants aged 65 years and older (65+) in Vantaa that visited a GP in primary health care. Main outcome measures: The number of GP visits per person per year in the whole older population during the study years. Results: In 2009-2010, there was a sudden drop in GP visits per person in the younger (65-74 years) age groups examined. In the population aged 85+, use of GP visits remained at a fairly constant level. The mortality rate decreased until the year 2008. After that, the positive trend ended and the mortality rate plateaued. Conclusions: Simultaneously with the decline in GP visits per person in the older population, the mortality rate leveled off from its positive trend in 2009-2010. Factors identified being associated with the number of GP consultations were organizational changes in primary health care, economic recession causing retrenchment, and even vaccinations during the swine flu epidemic.
Subject: Epidemiology
older adults
health services research
family practice
gender
CARE MODEL
HEALTH
IMPACT
HOSPITALIZATION
MORBIDITY
PROGRAM
FUTURE
TRENDS
COSTS
DEATH
3141 Health care science
3121 General medicine, internal medicine and other clinical medicine
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
Variations_in_o ... a_Finland_in_2003_2014.pdf 1.139Mb PDF View/Open

This item appears in the following Collection(s)

Show full item record