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

• Published in: International Journal of Circumpolar Health
• Main Authors: Kauppila, Timo, Liedes-Kauppila, Marja, Lehto, Mika, Mustonen, Katri, Rahkonen, Ossi, Raina, Marko, Heikkinen, Anna M.
• Other Authors: Department of General Practice and Primary Health Care, HUS Head and Neck Center, Department of Public Health, University of Helsinki, Clinicum, Department of Oral and Maxillofacial Diseases
• Format: Article in Journal/Newspaper
• Language: English
• Published: International Union for Circumpolar Health 2022
• Subjects: Community health centres; mortality; practice management; primary health care; PRIMARY-CARE; REASONS; 3121 General medicine; internal medicine and other clinical medicine; Circumpolar Health; International Journal of Circumpolar Health
• Online Access: http://hdl.handle.net/10138/341142

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. Peer reviewed