Development of office-hours use of primary health centers in the early years of the 21st century : a 13-year longitudinal follow-up study

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Kauppila , T , Liedes-Kauppila , M , Lehto , M , Mustonen , K , Rahkonen , O , Raina , M & Heikkinen , A M 2022 , ' Development of office-hours use of primary health centers in the early years of the 21 st century : a 13-year longitudinal follow-up study ' , International Journal of Circumpolar Health , vol. 81 , no. 1 , 2033405 . https://doi.org/10.1080/22423982.2022.2033405

Title: Development of office-hours use of primary health centers in the early years of the 21st century : a 13-year longitudinal follow-up study
Author: Kauppila, Timo; Liedes-Kauppila, Marja; Lehto, Mika; Mustonen, Katri; Rahkonen, Ossi; Raina, Marko; Heikkinen, Anna M.
Contributor organization: Department of General Practice and Primary Health Care
Department of Public Health
University of Helsinki
Department of Oral and Maxillofacial Diseases
Clinicum
Date: 2022-02-11
Language: eng
Number of pages: 7
Belongs to series: International Journal of Circumpolar Health
ISSN: 1239-9736
DOI: https://doi.org/10.1080/22423982.2022.2033405
URI: http://hdl.handle.net/10138/341142
Abstract: This study, conducted in a Finnish city, examined whether a long-lasting observed trend in Finnish primary health care, namely, a decreasing rate of office-hour visits to general practitioners (GPs), would lead to reduced services for specific gender, diagnosis or age groups. This was an observational retrospective follow-up study. The annual number of visits to office-hour primary care GPs in different gender, diagnosis and age groups was recorded during a 13-year follow-up period. The effect of the decreasing visit rate on the annual mortality rate in different age and gender groups was also studied. The total number of monthly visits to office-hour GPs decreased slowly over the whole study period. This decrease was stronger in women and older people. The proportion of recorded infectious diseases (Groups A and J and especially diagnoses related to infections of respiratory airways) decreased. Proportions of recorded chronic diseases increased (Group I, cardiovascular diseases, diabetes and osteoarthrosis) during the follow-up. The annual rate of visits to office-hour GP/per GP decreased. There was a decrease in the mortality in two of the age groups (20-64, 65+ years) and no change in the youngest population (0-19 years). The decrease in the office-hours GP activity does not seem to increase mortality either.
Subject: Community health centres
mortality
practice management
primary health care
PRIMARY-CARE
REASONS
3121 General medicine, internal medicine and other clinical medicine
Peer reviewed: Yes
Rights: cc_by_nc
Usage restriction: openAccess
Self-archived version: publishedVersion


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