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

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dc.contributor.author Mustonen, Katri
dc.contributor.author Kauppila, Timo
dc.contributor.author Rahkonen, Ossi
dc.contributor.author Kantonen, Jarmo
dc.contributor.author Raina, Marko
dc.contributor.author Mäki, Tiina
dc.contributor.author Pitkälä, Kaisu
dc.date.accessioned 2020-01-08T12:20:01Z
dc.date.available 2020-01-08T12:20:01Z
dc.date.issued 2019-11-08
dc.identifier.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
dc.identifier.other PURE: 128446952
dc.identifier.other PURE UUID: d07813a2-6cec-4b35-bac0-67b7d781b47c
dc.identifier.other WOS: 000495540800001
dc.identifier.other ORCID: /0000-0001-9659-6985/work/67132436
dc.identifier.other ORCID: /0000-0002-7202-3274/work/70946466
dc.identifier.uri http://hdl.handle.net/10138/309079
dc.description.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. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof Scandinavian Journal of Primary Health Care
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Epidemiology
dc.subject older adults
dc.subject health services research
dc.subject family practice
dc.subject gender
dc.subject CARE MODEL
dc.subject HEALTH
dc.subject IMPACT
dc.subject HOSPITALIZATION
dc.subject MORBIDITY
dc.subject PROGRAM
dc.subject FUTURE
dc.subject TRENDS
dc.subject COSTS
dc.subject DEATH
dc.subject 3141 Health care science
dc.subject 3121 General medicine, internal medicine and other clinical medicine
dc.title Variations in older people's use of general practitioner consultations and the relationship with mortality rate in Vantaa, Finland in 2003-2014 en
dc.type Article
dc.contributor.organization Department of General Practice and Primary Health Care
dc.contributor.organization Faculty of Medicine
dc.contributor.organization University of Helsinki
dc.contributor.organization Doctoral Programme in Social Sciences
dc.contributor.organization Department of Public Health
dc.contributor.organization Ossi Rahkonen / Principal Investigator
dc.contributor.organization University Management
dc.contributor.organization Center for Population, Health and Society
dc.contributor.organization HUSLAB
dc.contributor.organization Medicum
dc.contributor.organization HUS Helsinki and Uusimaa Hospital District
dc.contributor.organization Teachers' Academy
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1080/02813432.2019.1684426
dc.relation.issn 0281-3432
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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