Reiseavstand og bruk av legevakt

Raknes, Guttorm; Morken, Tone; Hunskår, Steinar

doi:10.4045/tidsskr.14.0443

Cited by 10 publications

(7 citation statements)

References 10 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, the number of reimbursement claims for OOH services on Easter Saturday in 2015 was 25 % higher than on an ordinary Saturday (Hogne Sandvik, personal communication). We have shown previously that the geographical distance to the OOH service strongly influences the extent to which the inhabitants use the service (13,14), and in the results presented in this article, we have not taken this into account. It is possible to make adjustments for distance in the interactive material.…”

Section: Limitationsmentioning

confidence: 79%

Local emergency medical communication centres – staffing and populations

Raknes¹,

Morken²,

Hunskår³

2017

Tidsskriftet

Self Cite

View full text Add to dashboard Cite

Section: Limitationsmentioning

confidence: 79%

Local emergency medical communication centres – staffing and populations

Raknes¹,

Morken²,

Hunskår³

2017

Tidsskriftet

Self Cite

View full text Add to dashboard Cite

“…Increasing travel distance is associated with reduced use of OOH services in Norway [54]. The lack of information about travel distance is thus a study limitation.…”

Section: Discussionmentioning

confidence: 99%

Associations Between the Use of eHealth and Out-of-Hours Services in People With Type 1 Diabetes: Cross-Sectional Study

Hansen¹,

Claudi²,

Årsand³

2019

J Med Internet Res

View full text Add to dashboard Cite

Background Despite the increasing prevalence of diabetes and the increasing use of eHealth, little is known about the association between provider-based health services and eHealth among people with diabetes. This is the second study in a project exploring the associations between the use of eHealth and the use of provider-based health services. Objective The objective of this study was to investigate which eHealth services are used among out-of-hours (OOH) visitors with type 1 diabetes (T1D), and whether the use of eHealth (eg, apps, search engines, video services, and social media) was associated with the use of OOH services. We also wanted to investigate associations between anxiety, reassurance, and change in doctor-seeking behavior because of health information acquired from the Internet, and the use of OOH services. Methods We used data from a 2018 email survey of members of the Norwegian Diabetes Association (18-89 years old). Respondents with T1D were eligible for analyses. Using descriptive statistics, we estimated the use of OOH services and eHealth. Using logistic regressions, we studied the associations between the use of OOH services and the use of eHealth, as well as associations between the use of OOH services and reported consequences of using Internet-based health information. Results In the sample of 523 people with T1D (mean age 47 years), 26.7% (129/484) visited OOH services once or more during the previous year. Among the OOH visitors, search engines were used for health purposes by 86.7% (111/128), apps (health apps in general) by 63.6% (82/129), social media by 45.3% (58/128), and video services by 28.4% (36/127). The use of OOH services was positively associated with self-reported anxiety/depression (odds ratio [OR] 4.53, 95% CI 1.43-14.32) and with the use of apps (OR 1.73, 95% CI 1.05-2.85), but not with other types of eHealth. Those who had felt anxious based on information from the Internet were more likely to visit OOH services compared with those who had not felt anxious (OR 2.38, 95% CI 1.50-3.78). People who had decided to consult a doctor based on information from the Internet were more likely to visit OOH services (OR 2.76, 95% CI 1.64-4.66), compared to those who had not made such an Internet-based decision. Conclusions People with T1D were frequent users of OOH services, and the OOH visitors were frequent users of eHealth. The use of OOH services was positively associated with the use of health apps, with self-reported anxiety/depression, and with feeling anxious based on information from the Internet. Likewise, deciding to consult a doctor based on information from the Internet was positively associated with OOH visits. The use of eHealth seems to have a significant impact on people with T1D.

show abstract

“…In Northern Ireland, so called outside-area patients who live >5 km away from the doctor's practice in urban environments (or >11 km in rural ones), have a high probability to be declined 24-hour cover by GPs [13]. In Switzerland, the distance between patients and doctors are much shorter than in Canada, Northern Ireland -or Norway, where home visits are offered for patients residing even 50 km away [12]. The average distance between patients and primary care providers in Switzerland is 1.1 km [27].…”

Section: Journey Duration During Home Visitsmentioning

confidence: 99%

“…Indeed, home visits account for a substantial amount of workload, as shown in a recent study from Germany [11]. Similarly, increased geographical distance has been associated with decreased frequency of primary care supply including home visits in other countries [12,13]. Besides long journeys, the consultation itself might be long.…”

Section: Introductionmentioning

confidence: 99%

How time consuming are general practitioners’ home visits? Insights from a cross-sectional study in Switzerland

2023

View full text Add to dashboard Cite

BACKGROUND: Worldwide, the number of home visits has been decreasing over past decades. Lack of time and long journeys have been reported to hinder general practitioners (GPs) from conducting home visits. In Switzerland also, home visits have declined. Time constraints in a busy GP practice could be one reason. Therefore, the aim of this study was to analyse the time requirements of home visits in Switzerland. METHODS: A one-year cross-sectional study involving GPs from the Swiss Sentinel Surveillance System (Sentinella) was conducted in 2019. GPs provided basic information on all home visits performed throughout the year and additionally detailed reports of up to 20 consecutive home visits. Univariable and multivariable logistic regression analyses were run to identify factors affecting journey and consultation duration. RESULTS: In total, 95 GPs conducted 8489 home visits in Switzerland, 1139 of which have been characterised in detail. On average, GPs made 3.4 home visits per week. Average journey and consultation duration were 11.8 and 23.9 minutes, respectively. Prolonged consultations were provided by GPs working part-time (25.1 minutes), in group practice (24.9 minutes) or in urban regions (24.7 minutes). Rural environments and short journey to patient’s home were both found to lower the odds of performing a long consultation compared to a short consultation (odds ratio [OR] 0.27, 95% confidence interval [CI] 0.16–0.44 and OR 0.60, 95% CI 0.46–0.77, respectively). Emergency visits (OR 2.20, 95% CI 1.21–4.01), out-of-hours appointments (OR 3.06, 95% CI 2.36–3.97) and day care involvement (OR 2.78, 95% CI 2.13–3.62) increased the odds of having a long consultation. Finally, patients in their 60s had markedly higher odds of receiving long consultations than patients in their 90s (OR 4.13, 95% CI 2.27–7.62), whereas lack of chronic conditions lowered the odds of a long consultation (OR 0.09, 95% CI 0.00–0.43). CONCLUSION: GPs perform rather few but long home visits, especially for multimorbid patients. GPs working part-time, in group practice or in urban regions devote more time to home visits.

show abstract

Reiseavstand og bruk av legevakt

Abstract: This supports previous findings to the fact that distance is a crucial factor for the utilisation of out-of-hours medical services. Establishing inter-municipal casualty clinics and co-locating them with hospitals may contribute to a lower rate of use of out-of-hours medical services.

Cited by 10 publications

References 10 publications

Local emergency medical communication centres – staffing and populations

Local emergency medical communication centres – staffing and populations

Associations Between the Use of eHealth and Out-of-Hours Services in People With Type 1 Diabetes: Cross-Sectional Study

How time consuming are general practitioners’ home visits? Insights from a cross-sectional study in Switzerland

Contact Info

Product

Resources

About