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
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 observation...
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ftpubmed:oai:pubmedcentral.nih.gov:8843247 2023-05-15T15:55:23+02:00 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 Kauppila, Timo Liedes-Kauppila, Marja Lehto, Mika Mustonen, Katri Rahkonen, Ossi Raina, Marko Heikkinen, Anna M. 2022-02-11 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843247/ http://www.ncbi.nlm.nih.gov/pubmed/35147493 https://doi.org/10.1080/22423982.2022.2033405 en eng Taylor & Francis http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843247/ http://www.ncbi.nlm.nih.gov/pubmed/35147493 http://dx.doi.org/10.1080/22423982.2022.2033405 © 2022 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 2022 ftpubmed https://doi.org/10.1080/22423982.2022.2033405 2022-02-20T01:49:11Z 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. Text Circumpolar Health PubMed Central (PMC) International Journal of Circumpolar Health 81 1 |
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Original Research Article |
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Original Research Article Kauppila, Timo Liedes-Kauppila, Marja Lehto, Mika Mustonen, Katri Rahkonen, Ossi Raina, Marko Heikkinen, Anna M. 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 |
topic_facet |
Original Research Article |
description |
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. |
format |
Text |
author |
Kauppila, Timo Liedes-Kauppila, Marja Lehto, Mika Mustonen, Katri Rahkonen, Ossi Raina, Marko Heikkinen, Anna M. |
author_facet |
Kauppila, Timo Liedes-Kauppila, Marja Lehto, Mika Mustonen, Katri Rahkonen, Ossi Raina, Marko Heikkinen, Anna M. |
author_sort |
Kauppila, Timo |
title |
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 |
title_short |
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 |
title_full |
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 |
title_fullStr |
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 |
title_full_unstemmed |
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 |
title_sort |
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 |
publisher |
Taylor & Francis |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843247/ http://www.ncbi.nlm.nih.gov/pubmed/35147493 https://doi.org/10.1080/22423982.2022.2033405 |
genre |
Circumpolar Health |
genre_facet |
Circumpolar Health |
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Int J Circumpolar Health |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8843247/ http://www.ncbi.nlm.nih.gov/pubmed/35147493 http://dx.doi.org/10.1080/22423982.2022.2033405 |
op_rights |
© 2022 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/10.1080/22423982.2022.2033405 |
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International Journal of Circumpolar Health |
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81 |
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1 |
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