A named General Practitioner (GP) is associated with an increase of hospital days in a single predictor analysis: a follow-up of 15 years
Abstract Background Continuity of care constitutes the basis of primary health care services and is associated with decreased hospitalization. In Finland, accessibility to primary care and increased use of hospital services are recognized challenges for the health care system. Objectives The aim of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-023-10184-5 |
| _version_ | 1797647314874007552 |
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| author | Emmi Lautamatti Kari J. Mattila Sakari Suominen Lauri Sillanmäki Markku Sumanen |
| author_facet | Emmi Lautamatti Kari J. Mattila Sakari Suominen Lauri Sillanmäki Markku Sumanen |
| author_sort | Emmi Lautamatti |
| collection | DOAJ |
| description | Abstract Background Continuity of care constitutes the basis of primary health care services and is associated with decreased hospitalization. In Finland, accessibility to primary care and increased use of hospital services are recognized challenges for the health care system. Objectives The aim of the study was to determine whether having a named GP is associated with hospital service use. Methods The data are part of the Health and Social Support study (HeSSup) based on a random Finnish working-age population sample. The cohort of the study comprised participants of postal surveys in 1998 (n = 25,898) who returned follow-up questionnaires both in 2003 and 2012 (n = 11,924). Background characteristics were inquired in the questionnaires, and hospitalization was derived from national registries (Hilmo-register). Results A named GP was reported both in 2003 and 2012 only by 34.3% of the participants. The association between hospital days and a named GP was linearly rising and statistically significant in a single predictor model. The strongest associations with hospital use were with health-related factors, and the association with a named GP was no longer significant in multinomial analysis. Conclusion A named GP is associated with an increased use of hospital days, but in a multinomial analysis the association disappeared. Health related factors showed the strongest association with hospital days. From the perspective of the on-going Finnish health and social services reform, continuity of care should be emphasized. |
| first_indexed | 2024-03-11T15:15:34Z |
| format | Article |
| id | doaj.art-28b6a12d2da845f69a8171b547cce7d9 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-11T15:15:34Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-28b6a12d2da845f69a8171b547cce7d92023-10-29T12:19:03ZengBMCBMC Health Services Research1472-69632023-10-0123111010.1186/s12913-023-10184-5A named General Practitioner (GP) is associated with an increase of hospital days in a single predictor analysis: a follow-up of 15 yearsEmmi Lautamatti0Kari J. Mattila1Sakari Suominen2Lauri Sillanmäki3Markku Sumanen4Faculty of Medicine and Health Technology, Tampere UniversityFaculty of Medicine and Health Technology, Tampere UniversityDepartment of Public Health, University of TurkuThe Wellbeing Services County of Southwest Finland, Research CentreFaculty of Medicine and Health Technology, Tampere UniversityAbstract Background Continuity of care constitutes the basis of primary health care services and is associated with decreased hospitalization. In Finland, accessibility to primary care and increased use of hospital services are recognized challenges for the health care system. Objectives The aim of the study was to determine whether having a named GP is associated with hospital service use. Methods The data are part of the Health and Social Support study (HeSSup) based on a random Finnish working-age population sample. The cohort of the study comprised participants of postal surveys in 1998 (n = 25,898) who returned follow-up questionnaires both in 2003 and 2012 (n = 11,924). Background characteristics were inquired in the questionnaires, and hospitalization was derived from national registries (Hilmo-register). Results A named GP was reported both in 2003 and 2012 only by 34.3% of the participants. The association between hospital days and a named GP was linearly rising and statistically significant in a single predictor model. The strongest associations with hospital use were with health-related factors, and the association with a named GP was no longer significant in multinomial analysis. Conclusion A named GP is associated with an increased use of hospital days, but in a multinomial analysis the association disappeared. Health related factors showed the strongest association with hospital days. From the perspective of the on-going Finnish health and social services reform, continuity of care should be emphasized.https://doi.org/10.1186/s12913-023-10184-5Continuity of CareNamed GPHospital daysHealth care servicesFinnish healthcareRegister-based |
| spellingShingle | Emmi Lautamatti Kari J. Mattila Sakari Suominen Lauri Sillanmäki Markku Sumanen A named General Practitioner (GP) is associated with an increase of hospital days in a single predictor analysis: a follow-up of 15 years BMC Health Services Research Continuity of Care Named GP Hospital days Health care services Finnish healthcare Register-based |
| title | A named General Practitioner (GP) is associated with an increase of hospital days in a single predictor analysis: a follow-up of 15 years |
| title_full | A named General Practitioner (GP) is associated with an increase of hospital days in a single predictor analysis: a follow-up of 15 years |
| title_fullStr | A named General Practitioner (GP) is associated with an increase of hospital days in a single predictor analysis: a follow-up of 15 years |
| title_full_unstemmed | A named General Practitioner (GP) is associated with an increase of hospital days in a single predictor analysis: a follow-up of 15 years |
| title_short | A named General Practitioner (GP) is associated with an increase of hospital days in a single predictor analysis: a follow-up of 15 years |
| title_sort | named general practitioner gp is associated with an increase of hospital days in a single predictor analysis a follow up of 15 years |
| topic | Continuity of Care Named GP Hospital days Health care services Finnish healthcare Register-based |
| url | https://doi.org/10.1186/s12913-023-10184-5 |
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