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A named GP increases self-reported access to health care services
Faculty of Medicine and Health Technology, Tampere University, Finland ; Centre for General Practice, Pirkanmaa Hospital District, Tampere, Finland.
Faculty of Medicine and Health Technology, Tampere University, Finland.
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). Department of Public Health and Clinical Research Centre, University of Turku, Turku University Hospital, Finland. (Medborgarcentrerad hälsa MeCH, Research on Citizen Centered Health, University of Skövde (Reacch US))ORCID iD: 0000-0001-6648-603X
Turku University Hospital and University of Turku, Finland ; Department of Public Health, University of Helsinki, Finland.
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2022 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, no 1, article id 1262Article in journal (Refereed) Published
Abstract [en]

Background: Continuity of care strengthens health promotion and decreases mortality, although the mechanisms of these effects are still unclear. In recent decades, continuity of care and accessibility of health care services have both decreased in Finland. Objectives: The aim of the study was to investigate whether a named and assigned GP representing continuity of care is associated with the use of primary and hospital health care services and to create knowledge on the state of continuity of care in a changing health care system in Finland. Methods: The data are part of the Health and Social Support (HeSSup) mail survey based on a random Finnish working age population sample of 64,797 individuals drawn in 1998 and follow-up surveys in 2003 and 2012. The response rate in 1998 was 40% (n = 25,898). Continuity of care was derived from the 2003 and 2012 data sets, other variables from the 2012 survey (n = 11,924). The principal outcome variables were primary health care and hospital service use reported by participants. The association of the explanatory variables (gender, age, education, reported chronic diseases, health status, smoking, obesity, NYHA class of any functional limitation, depressive mood and continuity of care) with the outcome variables was analysed by binomial logistic regression analysis. Results: A named and assigned GP was independently and significantly associated with more frequent use of primary and hospital care in the adjusted logistic regression analysis (ORs 1.53 (95% CI 1.35–1.72) and 1.19 (95% CI 1.08–1.32), p < 0.001). Conclusion: A named GPs is associated with an increased use of primary care and hospital services. A named GP assures access to health care services especially to the chronically ill population. The results depict the state of continuity of care in Finland. All benefits of continuity of care are not enabled although it still assures treatment of population in the most vulnerable position. 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022. Vol. 22, no 1, article id 1262
Keywords [en]
Continuity of Patient Care, Health Services, Health Services Accessibility, Humans, Self Report, Surveys and Questionnaires, health care delivery, health service, human, patient care, questionnaire, Accessibility, Continuity of care, Health care, Hospital care, Named GP, Primary care, Use of health care services
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Research on Citizen Centered Health, University of Skövde (Reacch US)
Identifiers
URN: urn:nbn:se:his:diva-22013DOI: 10.1186/s12913-022-08660-5ISI: 000870240500005PubMedID: 36261827Scopus ID: 2-s2.0-85140243149OAI: oai:DiVA.org:his-22013DiVA, id: diva2:1708177
Note

CC BY 4.0

© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

© 2022 BioMed Central Ltd unless otherwise stated. Part of Springer Nature. 

Correspondence: emmi.lautamatti@tuni.fi

A personal grant was awarded to the corresponding author by the Foundation of General Practice, General Practitioners in Finland (GPF) and Tampere University Hospital.

Available from: 2022-11-03 Created: 2022-11-03 Last updated: 2023-01-16Bibliographically approved

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