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Improved availability of specialist consultations in primary health care: impact on physician visits.

Abstract：

OBJECTIVE:How do physician visits vary when GPs are given the opportunity to send their patients to private specialists for consultation rather than simply to hospital outpatient clinics. DESIGN:An experimental study. SETTING AND SUBJECTS:In the City of Turku, 3 populations were served over 34 months by different service models. The first model was implemented in municipal health centres by 10 GPs with a list system and an option to consult private specialists. In the second model, there were four GPs in municipal health centres without a list system or the consultation option. In the third model, there were four private GPs with a list system and the consultation option. OUTCOME MEASURES:Visits to doctors as reported by the population. RESULTS:The populations on a GP's list had more physician visits than those not covered by a list system. Persons not on a health centre GP's list had fewer visits to the private sector and more visits to hospital than those covered by a list system. CONCLUSION:The possibility for a GP to send a patient for consultation to a private specialist improves the prerequisites for high-quality care without affecting the total number of physician visits.

journal_name

Scand J Prim Health Care

journal_title

Scandinavian journal of primary health care

authors

Linnala A,Aromaa A,Mattila K

doi

10.1080/02813430310001671

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

83-8

issue

2

eissn

0281-3432

issn

1502-7724

journal_volume

21

pub_type

杂志文章

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