Literature DB >> 12718455

Determinants of hospitalisation rates: does primary health care play a role?

Kjell Lindström1, Sven Engström, Calle Bengtsson, Lars Borgquist.   

Abstract

OBJECTIVE: To analyse the influence of rates of general practitioner visits on rates of hospitalisations.
DESIGN: Ecological cross-sectional study of factors influencing hospitalisation rates. Aggregated data on primary care centre area level.
SETTING: The county of Ostergötland, Sweden, with 3 hospital districts and 41 primary health care centres, and the hospital district of Jönköping in the county of Jönköping, Sweden, with 11 primary health care centres. OUTCOME MEASURE: Hospitalisation rates.
RESULTS: Age and rates of outpatient hospital visits were the most important factors explaining the variation in rates of hospitalisations between the primary health care centre areas. Hospital districts, socioeconomic factors and rates of GP visits also influenced the rates of hospitalisations.
CONCLUSION: When evaluating the influence of primary health care on the rates of hospitalisations, both socioeconomic factors and health care structure must be taken into consideration. Doing this, the rates of GP visits correlated negatively with the rates of hospitalisations.

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Mesh:

Year:  2003        PMID: 12718455     DOI: 10.1080/02813430310000500

Source DB:  PubMed          Journal:  Scand J Prim Health Care        ISSN: 0281-3432            Impact factor:   2.581


  9 in total

1.  Effect of primary health care reforms in the province of Newfoundland and Labrador: Interrupted time-series analysis.

Authors:  John C Knight; Rahim Moineddin; Maria Mathews; Kris Aubrey-Bassler
Journal:  Can Fam Physician       Date:  2019-07       Impact factor: 3.275

2.  The impact of rural health system reform on hospitalization rates in the Islamic Republic of Iran: an interrupted time series.

Authors:  Arash Rashidian; Hossein Joudaki; Elham Khodayari-Moez; Habib Omranikhoo; Bijan Geraili; Mohamad Arab
Journal:  Bull World Health Organ       Date:  2013-10-04       Impact factor: 9.408

3.  Having a family doctor was associated with lower utilization of hospital-based health services.

Authors:  Colman S C Fung; Carlos K H Wong; Daniel Y T Fong; Albert Lee; Cindy L K Lam
Journal:  BMC Health Serv Res       Date:  2015-01-28       Impact factor: 2.655

4.  Avoidable hospitalization after family physician and rural health insurance: interrupted time series and regression analyses, Tehran province, Iran.

Authors:  Sedigheh Salavati; Arash Rashidian; Hanan Hajimahmoodi; Sara Ememgholipour; Vida Varahrami; Elham Khodayarimoez
Journal:  Prim Health Care Res Dev       Date:  2022-02-24       Impact factor: 1.792

5.  Association between Primary Care Utilization and Emergency Room or Hospital Inpatient Services Utilization among the Middle-Aged and Elderly in a Self-Referral System: Evidence from the China Health and Retirement Longitudinal Study 2011-2018.

Authors:  Siman Yang; Mengping Zhou; Jingyi Liao; Xinxin Ding; Nan Hu; Li Kuang
Journal:  Int J Environ Res Public Health       Date:  2022-10-10       Impact factor: 4.614

6.  Temporal and geographic heterogeneity of the association between socioeconomic position and hospitalisation in Italy: an income based indicator.

Authors:  Patrizia Schifano; Chiara Marinacci; Giulia Cesaroni; Valeria Belleudi; Nicola Caranci; Antonio Russo; Carlo A Perucci
Journal:  Int J Equity Health       Date:  2009-09-17

7.  Distance to hospital and socioeconomic status influence secondary health care use.

Authors:  Andrzej Zielinski; Lars Borgquist; Anders Halling
Journal:  Scand J Prim Health Care       Date:  2013-01-10       Impact factor: 2.581

8.  Is a high level of general practitioner consultations associated with low outpatients specialist clinic use? A cross-sectional study.

Authors:  Trygve S Deraas; Gro R Berntsen; Toralf Hasvold; Unni Ringberg; Olav Helge Førde
Journal:  BMJ Open       Date:  2013-01-11       Impact factor: 2.692

Review 9.  A systematic review of evidence on the association between hospitalisation for chronic disease related ambulatory care sensitive conditions and primary health care resourcing.

Authors:  Odette R Gibson; Leonie Segal; Robyn A McDermott
Journal:  BMC Health Serv Res       Date:  2013-08-26       Impact factor: 2.655

  9 in total

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