Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study

Eide, Torunn Bjerve; Straand, Jørúnd; Björkelund, Cecilia; Kosunen, Elise; Thorgeirsson, Ofeigur; Vedsted, Peter; Rosvold, Elin Olaug

doi:10.1080/02813432.2017.1333323

Cited by 29 publications

(15 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies in the Nordic countries and New Zealand report no major GP gender differences in recruitment patterns [ 28 , 33 ]. A study investigating differences in medical service and the demographics of participating GPs in the five Scandinavian countries corresponds with our results: 47% of the GPs were women [ 35 ], they had a mean age of 50 and they generally shared their practice with other GPs [ 35 ]. In a study from Norway exploring the associations between GP characteristics and the quality of care for patients with type 2 diabetes, 73% of the invited practices participated and in total 55% of the GPs were male, 68% had specialist accreditation and 82% were born in Norway [ 36 ].…”

Section: Discussionsupporting

confidence: 81%

Selection bias in general practice research: analysis in a cohort of pregnant Danish women

Ertmann

Nicolaisdóttir

Kragstrup

et al. 2020

Scandinavian Journal of Primary Health Care

View full text Add to dashboard Cite

Objective: The aim of the present study was to examine selection in a general practice-based pregnancy cohort. Design: Survey linked to administrative register data. Setting and subjects: In spring 2015, GPs were recruited from two Danish regions. They were asked to invite all pregnant women in their practice who had their first prenatal care visit before 15 August 2016 to participate in the survey. Outcome measures: The characteristics of GPs and the pregnant women were compared at each step in the recruitment processthe GP's invitation, their agreement to participate, actual GP participation, and the women's participationwith an uncertainty coefficient to quantify the step where the largest selection occurs. Results: Significant differences were found between participating and non-participating practices with regards to practice characteristics such as the number of patients registered with the practice, the age and sex of doctors, and the type of practice. Despite these differences, the characteristics of the eligible patients differed little between participating and non-participating practices. In participating practices significant differences were, however, observed between recruited and non-recruited patients. Conclusion: The skewed selection of patients was mainly caused by a high number of non-participants within practices that actively took part in the study. We recommend that a focus on the sampling within participating practices be the most important factor in representative sampling of patient populations in general practice. KEY POINTS Selection among general practitioners (GPs) is often unavoidable in practice-based studies, and we found significant differences between participating and non-participating practices. These include practice characteristics such as the number of GPs, the number of patients registered with the GP practice, as well as the sex and age of the GPs. Despite this, only small differences in the characteristics of the eligible patients were observed between participating and non-participating practices. In participating practices, however, significant differences were observed between recruited and non-recruited patients. Comprehensive sampling within participating practices may be the best way to generate representative samples of patients.

show abstract

Section: Discussionsupporting

confidence: 81%

Selection bias in general practice research: analysis in a cohort of pregnant Danish women

Ertmann

Nicolaisdóttir

Kragstrup

et al. 2020

Scandinavian Journal of Primary Health Care

View full text Add to dashboard Cite

show abstract

“…The study by Einio et al . is however conducted in Finland, and as the two countries are comparable regarding both healthcare (Eide et al ., 2017), as well as the association of income and mortality in older age (Mortensen et al ., 2016), this does not seem to be the full explanation. In order to further explore the influence of the time before spousal death, future studies should include information on the health, as well as the causes of death from both spouses.…”

Section: Discussionmentioning

confidence: 99%

Widowhood and mortality: a Danish nationwide register-based cohort study

Blanner

Mejldal

Prina

et al. 2020

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

Aims Widowed people have increased mortality compared to married people of the same age. Although most widowed people are of older age, few studies include the oldest old. As life expectancy is increasing, knowledge of widowhood into older age is needed. This study aimed to examine mortality and widowhood in older age by comparing mortality in widowed and married people by sex, age, time since spousal loss and cause of death. Methods A Danish register-based matched cohort study of 10% of widowed persons ⩾65 years in the years 2000–2009. For each randomly drawn widowed person, five married persons were matched on sex and age. Mortality rate ratios (MRR) were calculated using Poisson regression, and stratified according to sex and 5-year age intervals. MRRs were furthermore calculated by time since spousal loss and by specific cause of death. Results The study included 82 130 persons contributing with 642 914.8 person-years. The overall MRR between widowed and married persons with up to 16 years of follow-up was 1.25 (95% CI 1.23–1.28). At age ⩾95 years for men, and ⩾90 years for women, no differences in mortality rates were seen between widowed and married persons. Mortality in widowed persons was increased for most specific causes of death, with the highest MRR from external causes (MRR 1.53 [1.35–1.74]) and endocrine diseases (MRR 1.51 [1.34–1.70]). Conclusions Widowhood was associated with increased mortality in older age for both men and women until age ⩾95 and ⩾90 years, respectively. Increased mortality was observed for almost all causes of death.

show abstract

“…4 GPs are patients' first contact point with the health services for most medical problems, and offer a comprehensive range of services. 5,6 GPs also have a gatekeeping role for access to specialised healthcare services. Most citizens therefore have some knowledge about their RGP and the medical services they offer.…”

Section: Introductionmentioning

confidence: 99%

Patients' and GPs' expectations regarding healthcare-seeking behaviour: a Norwegian comparative study

2018

Self Cite

View full text Add to dashboard Cite

BackgroundGPs are Norwegian patients' first contact point with the healthcare system for most medical problems. However, little is known regarding GPs' expectations towards their patients' healthcare-seeking behaviour, or whether doctors and patients have coinciding expectations of what GPs can do for their patients.AimTo investigate patients' and GPs’ expectations regarding patients’ healthcare-seeking behaviour in primary care, and to make comparisons between the two.Design & settingNorwegian data from the Quality and Costs of Primary Care in Europe (QUALICOPC) questionnaire study, with information from GPs and their patients.MethodBinary logistic regression was used to investigate associations between expectations, sex and age of GPs and patients, list size, and geographical location of practice. Results are presented as odds ratios (ORs) with 95% confidence intervals (CIs). Expectation differences between GPs and patients were analysed using generalised estimating equations (GEEs). Due to multiple testing, Bonferroni correction was used to define significance level at P≤0.002.ResultsIn total, 198 GPs (39.1% female) and 1529 patients (61.9% female) responded. No associations with sex or age were found for the GPs' expectations regarding patients' healthcare-seeking behaviour. Among patients, fewer males than females expected that most people would see their GP for sprained ankle (OR 0.7, 95% CI = 0.5 to 0.9), finger cut (OR 0.6, 95% CI = 0.4 to 0.7), smoking cessation (OR 0.6, 95% CI = 0.5 to 0.8), or anxiety (OR 0.4, 95% CI = 0.3 to 0.6). Older patients (aged >65 years) found it more important than younger patients to see a doctor in the presence of medical symptoms. GPs had higher expectations than their patients that people in general would see them for deteriorated vision (OR 4.2, 95% CI = 2.5 to 6.9), sexual problems (OR 1.8, 95% CI =1.3 to 2.6), and anxiety (OR 3.0, 95% CI =1.5 to 6.0).ConclusionFor several common health problems, males are less likely than females to believe that people will see their GP. GPs may overestimate to what degree their patients will see them for a number of common medical problems.

show abstract

Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study

Cited by 29 publications

References 14 publications

Selection bias in general practice research: analysis in a cohort of pregnant Danish women

Selection bias in general practice research: analysis in a cohort of pregnant Danish women

Widowhood and mortality: a Danish nationwide register-based cohort study

Patients' and GPs' expectations regarding healthcare-seeking behaviour: a Norwegian comparative study

Contact Info

Product

Resources

About