Abstract：
:OBJECTIVE. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. DESIGN AND SETTING. The study was a register-based closed cohort study in one private and one public PHC practice in Blekinge County in southern Sweden. Subjects. A cohort (12 696 individuals) was studied comprising all those listed with the public or private PHC practice on 1 October 2005 who were also listed with the public PHC practice on 1 October 2004. MAIN OUTCOME MEASURES. The listing/re-listing behaviour of the population in this cohort was studied at two points in time, 1 October 2005 and 1 October 2006, with respect to age, gender, and comorbidity level as measured by the ACG Case-Mix system. RESULTS. Individuals listed with the public practice both on 1 October 2005 and one year later were significantly older, were more often females, and had a higher comorbidity level than individuals listed with the private practice. Individuals with a higher comorbidity level were more likely to re-list or to stay listed with the public practice. CONCLUSIONS. This study shows that the probability of choosing a public instead of private PHC provider increased with higher age and comorbidity level of the individuals. It is suggested that using a measure of comorbidity can help us understand more about the chronically ill individual's choice of health care provider. This would be of importance when health care policy-makers decide on reimbursement system or organization of PHC.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Zielinski A,Håkansson A,Beckman A,Halling Adoi
10.3109/02813432.2011.562363subject
Has Abstractpub_date
2011-06-01 00:00:00pages
104-9issue
2eissn
0281-3432issn
1502-7724journal_volume
29pub_type
杂志文章abstract：OBJECTIVE:To study the effectiveness of a comprehensive diabetes programme in general practice that integrates patient-centred lifestyle counselling into structured diabetes care. Design and setting. Cluster randomised trial in general practices. INTERVENTION:Nurse-led structured diabetes care with a protocol, record ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,随机对照试验
doi：10.3109/02813432.2013.797178
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVE:To investigate associations between patients' family, leisure time, and work-related factors and physicians' measure as to whether or not to sickness certify the patient in connection with the consultation. DESIGN:Questionnaire survey to physicians in general practice and their patients. Setting. General pra...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813431003765265
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVE:To study awareness and treatment of risk factors for cardiovascular disease in a primary care district where a screening program for hypercholesterolaemia involving one third of the population had been conducted 7 years earlier. DESIGN:A semi-structured telephone survey on four risk factors; blood pressure, ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134398750003124
更新日期：1998-09-01 00:00:00
abstract：OBJECTIVE:To explore experiences and consequences of the process of being diagnosed with fibromyalgia. DESIGN:Qualitative focus-group study. SETTING:Two local self-help groups. SUBJECTS:Eleven women diagnosed with fibromyalgia. MAIN OUTCOME MEASURES:Descriptions of experiences and consequences of the process of bei...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430701706568
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVE:To identify and describe variations in ways of experiencing asthma management among general practitioners (GPs) in Sweden. DESIGN:Descriptive and explorative study using a phenomenographic approach. Semi-structured tape-recorded face-to-face interviews, focusing on the GP's own experiences regarding asthma m...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134399750002458
更新日期：1999-12-01 00:00:00
abstract：OBJECTIVE:To examine whether vaginal application of Lactobacillus casei v. rhamnosus reduces the reinfection rate in cystitis-prone women. DESIGN:A controlled, randomized, double-blind clinical trial. SETTING:Division for General Practice, University of Bergen, Norway. INTERVENTION:Vaginal application of lactobacill...
journal_title：Scandinavian journal of primary health care
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.3109/02813439409029247
更新日期：1994-12-01 00:00:00
abstract：OBJECTIVE:To assess the effect of workplace-oriented dietary intervention on serum lipids. DESIGN:A cohort study. Screening for blood lipids and subsequent dietary intervention performed at a ferro-alloy factory where all the workers have at least one meal per working day served by the factory kitchen. SETTING:Employ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439409003682
更新日期：1994-06-01 00:00:00
abstract：:Some general ideas of the evaluation of the work of the physician applicable also to primary care physicians are taken up in this article. The presentation is not trying to be a complete review of the topic. It tries, however, to direct attention to the importance of the subject from the point of view of the practisin...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438309038480
更新日期：1983-01-01 00:00:00
abstract：OBJECTIVES:To determine the number, the nature and the circumstances of home accidents managed in general practices, and to compare the results with the European Home and Leisure Accidents Surveillance System (EHLASS) data. DESIGN:A prospective population survey of all domestic accidents managed in 138 sentinel genera...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：
更新日期：2002-06-01 00:00:00
abstract：:The present study investigates the feasibility of the clinical differentiation between patients with beta-haemolytic streptococcal pharyngitis from those with pharyngitis caused by other agents, based on the patients' symptoms, symptom duration, and the clinical findings. Twenty-four general practitioners recruited 22...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438809009320
更新日期：1988-11-01 00:00:00
abstract：:During the waiting time for upper gastrointestinal endoscopy 165 patients with dyspepsia completed a questionnaire and a diary for daily measurements of the symptoms pain, heartburn, and global complaints. 23 patients (14%) had peptic ulcer disease (PUD), 18 oesophagitis (11%), and the rest were labelled nonulcer dysp...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439308994902
更新日期：1993-03-01 00:00:00
abstract：OBJECTIVE:To investigate the rate of diagnostic evaluation of dementia for patients in whom a suspicion of dementia was raised, and to investigate reasons why a diagnostic evaluation was not always being performed. DESIGN:A prospective study among elderly patients aged 65+, and a follow-up study. SETTING:In all, 17 g...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430510031324
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Self-rated health (SRH) measures one's current general health and is a widely used health indicator. Sleep problems, somatic health complaints, and unmet needs in interpersonal relationships are suspected to influence SRH, but studies in primary health care settings are sparse. OBJECTIVE:To examine the asso...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1499590
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVE:To compare how newly initiated treatment with benzodiazepines, Z-hypnotics or both associates with the reception of disability pension among 40,661 individuals of a working age. DESIGN:Prescription register study. SETTING:Norwegian nationwide prescriptions socio-economic and disability status data. METHODS...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2017.1358436
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVE:The aim was to analyse differences between female and male general practitioners (GPs) in health status and lifestyle and compared with the general population in health-related quality of life. DESIGN:A simple random sample of 1004 GPs from the whole of Sweden (71.2%) participated in a survey in May 1996 abo...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/028134399750002692
更新日期：1999-06-01 00:00:00
abstract：OBJECTIVE:To develop a valid and reliable assessment tool able to measure quality of communication, patient safety and efficiency in out-of-hours (OOH) telephone triage conducted by both general practitioners (GP) and nurses. DESIGN:The Dutch KERNset tool was translated into Danish and supplemented with items from oth...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1568712
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:To study associations between dairy fat intake and development of central obesity. DESIGN:A prospective population-based cohort study with two surveys 12 years apart. SETTING:Nine municipalities selected from different parts of Sweden representing the rural areas in the country. SUBJECTS:1782 men (farmers ...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2012.757070
更新日期：2013-06-01 00:00:00
abstract：:During one year, 1979-80, all the contacts between the 836 inhabitants of Upernavik town and the local medical officers were recorded. In the 737 native Greenlanders 1006 contacts (41%) were caused by infectious diseases, representing 705 episodes of disease. The number of contacts per episode of disease was similar i...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438509013939
更新日期：1985-09-01 00:00:00
abstract：:Objective: Explore the perceptions of patients and health care professionals about patients' ideas, concerns, expectations (ICE), and satisfaction in consultations with general practitioners (GPs), district nurses (DNs) and physiotherapists (PTs).Design: Cross-sectional questionnaire study of participants in planned c...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章,多中心研究
doi：10.1080/02813432.2019.1684430
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:This paper investigated patients' experiences of disease and self-care as well as perceptions of the general practitioner's role in supporting patients with impaired self-care ability. DESIGN:Qualitative interviews with 13 patients with type 2 diabetes, concurrent chronic diseases, and impaired self-care abi...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2018.1487436
更新日期：2018-09-01 00:00:00
abstract：:Objective: To compare information in sickness certificates and rehabilitation activities for patients with symptom diagnoses vs patients with disease specific diagnoses. Design: Retrospective case control study 2013-2014. Setting: Primary health care, Sweden. Subjects. Patients with new onset sickness certificates wit...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813432.2019.1639905
更新日期：2019-09-01 00:00:00
abstract：OBJECTIVE:To explore depression from a gender perspective, by capturing depressed women's and men's formulations of their experiences and understanding of their situation. DESIGN:Qualitative interview study. SETTING:A healthcare centre in northern Sweden. SUBJECTS:Eighteen patients who had been diagnosed with depres...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430510031315
更新日期：2005-09-01 00:00:00
abstract：OBJECTIVE:To find out whether family or working conditions is most important for mood in different ages in women. DESIGN:Prospective study. SETTING:Göteborg, Sweden, population about 430,000. SUBJECTS:Representative samples of a general population of women, born in 1930 (n = 276), 1942 (n = 93) and 1954 (n = 61), ex...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430410006486
更新日期：2004-06-01 00:00:00
abstract：OBJECTIVE:For general practitioners (GPs) dizziness is a challenging condition to deal with. Data on the management of dizziness in older patients are mostly lacking. Furthermore, it is unknown whether GPs attempt to decrease Fall Risk Increasing Drugs (FRIDs) use in the management of dizziness in older patients. The a...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2016.1160634
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVE:To explore the associations between decreased pulse oximetry values (SpO2) and clinical, laboratory, and demographic variables in general practice patients diagnosed with asthma or chronic obstructive pulmonary disease (COPD), including those with both COPD and asthma in combination. DESIGN/SETTING:A cross-s...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813432.2015.1117283
更新日期：2015-01-01 00:00:00
abstract：OBJECTIVE:The objectives of this study were to explore how frequently group A streptococci (GAS) were giving additional cases of clinical GAS tonsillitis within the households and to analyse predictors for such spread of GAS infection. SETTING:Two Norwegian general practice populations in Stokke and Kongsberg communit...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.1080/02813430410006729
更新日期：2004-12-01 00:00:00
abstract：OBJECTIVE:To study factors of importance for infants' use of health and medical care. DESIGN:We studied the medical records of the mother during pregnancy (at the health centre, at the antenatal clinics, and at the department of obstetrics and gynaecology) and of her infant during the first 18 months of life (at the h...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813439609024173
更新日期：1996-09-01 00:00:00
abstract：:Longitudinal analyses of heavy users of prescription drugs were carried out in a geographically defined population in mideastern Sweden. During the period 1976-1983 the individual stability in heavy use of prescription drugs was analysed in heavy users identified in 1975. Mortality of heavy and nonheavy users during t...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438909087232
更新日期：1989-10-01 00:00:00
abstract：:A cross-sectional study carried out among 269 mother-infant pairs in Istanbul showed that the majority of infants began receiving regular complements or had been weaned before the age of three months. A prospective study carried out among 24 mothers beginning the last month of pregnancy and continuing until the time w...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438609014837
更新日期：1986-11-01 00:00:00
abstract：:Health problems in female patients often confuse the general practitioner. Many of them are classified as "unspecific" or "various". Psychiatric, psychosomatic or musculosceletal diagnoses may imply a diagnostic level inadequate for proper solution of the problems. This study of middle-aged female patients assumes tha...
journal_title：Scandinavian journal of primary health care
pub_type： 杂志文章
doi：10.3109/02813438709018097
更新日期：1987-11-01 00:00:00
