Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town
To determine the extent to which it is possible to provide continuity of primary care for those who visit Emergency Departments (EDs) we studied how recorded diagnoses in primary care differ, depending on whether the patient is met in an ED or a primary care office-hours practice. In the present, 12...
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ftpubmed:oai:pubmedcentral.nih.gov:8174484 2023-05-15T15:55:23+02:00 Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town Lehto, Mika Mustonen, Katri Raina, Marko Kauppila, Timo 2021-06-02 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8174484/ http://www.ncbi.nlm.nih.gov/pubmed/34077332 https://doi.org/10.1080/22423982.2021.1935593 en eng Taylor & Francis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8174484/ http://www.ncbi.nlm.nih.gov/pubmed/34077332 http://dx.doi.org/10.1080/22423982.2021.1935593 © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. CC-BY-NC Int J Circumpolar Health Original Research Article Text 2021 ftpubmed https://doi.org/10.1080/22423982.2021.1935593 2021-06-13T00:30:53Z To determine the extent to which it is possible to provide continuity of primary care for those who visit Emergency Departments (EDs) we studied how recorded diagnoses in primary care differ, depending on whether the patient is met in an ED or a primary care office-hours practice. In the present, 12-year follow-up study a report generator of the Electronic Health Record-system provided monthly figures for the number of different recorded diagnoses using the International Classification of Diagnoses (10(th)edition, ICD-10) and the total number of ED doctors and office-hour visits to General Practitioners (GPs). The 20 most common diagnoses covered 48.1% of the visits with recorded diagnoses to the office hour GPs and 45.9% of the visits to the doctors of the ED. Of these 20 diagnoses, 10 were common in both systems. These 10 diagnoses constituted about 30% of the diagnoses given by ED doctors. Furthermore, five out of the six most common diagnoses were the same in the ED and office-hours practices. The doctors in EDs and office-hour GPs treat quite similar patient material. This may provide organisational ways to reorganise the work of primary care and to guarantee continuity of care for those who may benefit from it. Text Circumpolar Health PubMed Central (PMC) International Journal of Circumpolar Health 80 1 1935593 |
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Original Research Article |
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Original Research Article Lehto, Mika Mustonen, Katri Raina, Marko Kauppila, Timo Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town |
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Original Research Article |
description |
To determine the extent to which it is possible to provide continuity of primary care for those who visit Emergency Departments (EDs) we studied how recorded diagnoses in primary care differ, depending on whether the patient is met in an ED or a primary care office-hours practice. In the present, 12-year follow-up study a report generator of the Electronic Health Record-system provided monthly figures for the number of different recorded diagnoses using the International Classification of Diagnoses (10(th)edition, ICD-10) and the total number of ED doctors and office-hour visits to General Practitioners (GPs). The 20 most common diagnoses covered 48.1% of the visits with recorded diagnoses to the office hour GPs and 45.9% of the visits to the doctors of the ED. Of these 20 diagnoses, 10 were common in both systems. These 10 diagnoses constituted about 30% of the diagnoses given by ED doctors. Furthermore, five out of the six most common diagnoses were the same in the ED and office-hours practices. The doctors in EDs and office-hour GPs treat quite similar patient material. This may provide organisational ways to reorganise the work of primary care and to guarantee continuity of care for those who may benefit from it. |
format |
Text |
author |
Lehto, Mika Mustonen, Katri Raina, Marko Kauppila, Timo |
author_facet |
Lehto, Mika Mustonen, Katri Raina, Marko Kauppila, Timo |
author_sort |
Lehto, Mika |
title |
Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town |
title_short |
Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town |
title_full |
Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town |
title_fullStr |
Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town |
title_full_unstemmed |
Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town |
title_sort |
differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a finnish town |
publisher |
Taylor & Francis |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8174484/ http://www.ncbi.nlm.nih.gov/pubmed/34077332 https://doi.org/10.1080/22423982.2021.1935593 |
genre |
Circumpolar Health |
genre_facet |
Circumpolar Health |
op_source |
Int J Circumpolar Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8174484/ http://www.ncbi.nlm.nih.gov/pubmed/34077332 http://dx.doi.org/10.1080/22423982.2021.1935593 |
op_rights |
© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1080/22423982.2021.1935593 |
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International Journal of Circumpolar Health |
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80 |
container_issue |
1 |
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1935593 |
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