Abstract:
OBJECTIVE:To compare the likelihood of being a frequent attender (FA) to general practice among native Norwegians and immigrants, and to study socioeconomic and morbidity factors associated with being a FA for natives and immigrants. DESIGN, SETTING AND SUBJECTS:Linked register data for all inhabitants in Norway with at least one visit to the general practitioner (GP) in 2008 (2 967 933 persons). Immigrants were grouped according to their country of origin into low- (LIC), middle- (MIC), and high-income countries (HIC). FAs were defined as patients whose attendance rate ranked in the top 10% (cut-off point > 7 visits). MAIN OUTCOME MEASURES:FAs were compared with other GP users by means of multivariate binary logistic analyses adjusting for socioeconomic and morbidity factors. RESULTS:Among GP users during the daytime, immigrants had a higher likelihood of being a FA compared with natives (OR (95% CI): 1.13 (1.09-1.17) and 1.15 (1.12-1.18) for HIC, 1.84 (1.78-1.89) and 1.66 (1.63-1.70) for MIC, and 1.77 (1.67-1.89) and 1.65 (1.57-1.74) for LIC for men and women respectively). Pregnancy, middle income earned in Norway, and having cardiologic and psychiatric problems were the main factors associated with being a FA. Among immigrants, labour immigrants and the elderly used GPs less often, while refugees were overrepresented among FAs. Psychiatric, gastroenterological, endocrine, and non-specific drug morbidity were relatively more prevalent among immigrant FA compared with natives. CONCLUSION:Although immigrants account for a small percentage of all FAs, GPs and policy-makers should be aware of differences in socioeconomic and morbidity profiles to provide equality of health care.
journal_name
Scand J Prim Health Carejournal_title
Scandinavian journal of primary health careauthors
Diaz E,Gimeno-Feliu LA,Calderón-Larrañaga A,Prados-Torres Adoi
10.3109/02813432.2014.982368subject
Has Abstractpub_date
2014-12-01 00:00:00pages
232-40issue
4eissn
0281-3432issn
1502-7724journal_volume
32pub_type
杂志文章abstract::A Regional Health University is planned at the University of Linköping, Sweden. To evaluate new educational principles, a trial project was carried out in which medical and nursing students trained together in a two-week full-time course aimed at patient-oriented clinical social medicine and epidemiological field work...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013940
更新日期:1985-09-01 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::The aim of the study was to describe and evaluate a controlled intervention to achieve more rational and economical drug therapy in general practice. The strategy was based on peer comparison feedback and encouragement of local peer group discussions. Seven districts comprising 53, and 6 districts comprising 55 eligib...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439209014040
更新日期:1992-03-01 00:00:00
abstract::A group of 235 persons (180 adults and 55 children 0-15 years old) recorded symptoms of upper respiratory tract infection daily during two three-month periods (autumn 1986 and spring 1987). Samples for culture were taken from the nasopharynx and throat once during each period. Fifteen per cent of asymptomatic subjects...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438909088665
更新日期:1989-12-01 00:00:00
abstract::Objective: The objective of this study was to investigate the psychosocial consequences of receiving false-positive colorectal cancer (CRC) screening results, following a positive immunochemical faecal occult blood test. Design, setting, and subjects: We conducted a qualitative study with four semi-structured focus gr...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1608040
更新日期:2019-06-01 00:00:00
abstract::Objective: To assess the use of point-of-care ultrasound (POCUS) in Norwegian general practice.Design: Retrospective register study based on general practitioners' (GPs') reimbursement claims.Setting: Norwegian general practice excluding out-of-hours clinics in 2009, 2012 and 2016.Subjects: GPs who scanned patients fo...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2020.1753385
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:Evaluate the feasibility of the COPD Web and its study design and study procedures and to increase the understanding of the potential effect of the tool in order to provide guidance for a future large scale trial. DESIGN:Parallel-group controlled pragmatic pilot trial. SUBJECTS:There was a total of 83 patie...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,随机对照试验
doi:10.1080/02813432.2019.1569415
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To study the predictive value of clinical chest findings for bronchial airflow limitation in patients with respiratory tract infection. DESIGN:Associations were analysed between FEV1 (forced expiratory volume in one second) in % of predicted and physical chest findings. SETTING:The Municipal Emergency Clini...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439508996773
更新日期:1995-12-01 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::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 Bleking...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2011.562363
更新日期:2011-06-01 00:00:00
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::The purpose of the present investigation was to describe dental health behaviour in an adult Danish population and to study whether oral hygiene habits and consumption of sweets were affected by living conditions. The study group comprised 749 persons in the age group 25-44 years (82% of the original sample) and data ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438609013971
更新日期:1986-02-01 00:00:00
abstract::A written inquiry was undertaken to explore the expectations towards primary care physicians (general practitioners), as expressed by patients, local health board members and health centre staff members. Treatment without delay was given top priority both by patients and board members, while continuity of care was con...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438509013949
更新日期:1985-11-01 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 increase our knowledge about the diagnostic process in physiotherapy and to identify possible differential frames of reference. DESIGN:Video-recordings and semi-structured interviews of the participants. SETTING:Natural working settings, i.e. private institutes and patients' homes. PARTICIPANTS:Manual, ...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439408997056
更新日期:1994-03-01 00:00:00
abstract:OBJECTIVE:On the basis of emerging research evidence, this review aims to discuss the importance of the context surrounding the doctor-patient encounter for the success of treatment. DESIGN AND SETTING:Discussion paper based on placebo-nocebo and pain studies conducted in the western world. MAIN OUTCOME MEASURES:Lite...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章,评审
doi:10.1080/02813432.2016.1249065
更新日期:2016-12-01 00:00:00
abstract::Introduction: Little is known about the indications general practitioners (GPs) perceive as relevant for performing gynaecological examinations (GEs), how GPs master the GE and associated procedures, and how they handle the sensitive nature of GEs. Methods: In 2015, 70 medical students at the University of Bergen dist...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1619829
更新日期:2019-06-01 00:00:00
abstract::Background: Despite the potential benefits of physician-staffed Helicopter Emergency Medical Service (HEMS), many dispatches to primary HEMS missions in Norway are cancelled before patient encounter. Information is sparse regarding the health consequences when medically indicated HEMS missions are cancelled and the pa...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1608056
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To investigate the public knowledge of cardiovascular risk factors including hyperlipidaemia, and attitudes to changes in lifestyle and to the role of the primary health care in preventive work. DESIGN:Postal questionnaire. SETTING:A physically defined area in south-western Stockholm. SUBJECTS:1000 randoml...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439508996739
更新日期:1995-03-01 00:00:00
abstract::The present study describes the use of phenoxymethylpenicillin and broad-spectrum penicillin for the treatment of sinusitis in general practice, in relation to some variables related to the prescribing doctors: region (county), practice form (single-handed or partnership), and the doctors' seniority (year of graduatio...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813438809009312
更新日期:1988-09-01 00:00:00
abstract:OBJECTIVE:Sputum colour plays an important role in the disease concepts for acute cough, both in the patients' and the doctors' view. However, it is unclear whether the sputum colour can be used for diagnosis of a bacterial infection. DESIGN:Cross-sectional study. SETTING:A total of 42 GP practices in Dusseldorf, Ger...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430902759663
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To compare frequent attenders in different age and sex groups with a control group according to characteristics and use of primary health care. DESIGN:Descriptive study of medical records. SETTING:Primary health care centre. SUBJECTS:341 frequent attenders, divided by age and sex, were compared with 1025 c...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813430310001149
更新日期:2003-09-01 00:00:00
abstract::A substantial proportion of GPs' patients are women who suffer from "unexplained" pain conditions, often from the musculoskeletal system. Few medical findings are revealed, although the symptoms lead to extensive suffering and disability. Two experienced Swedish GPs, Katarina Hamberg and Eva E Johansson, took their ow...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134398750002945
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVE:To explore patients' views about what they would or would not like to read on the computer screen, and how this might be managed. DESIGN:A qualitative study using semi-structured interviews with patients who had recently consulted, and who were representative of the age-sex structure of our practice populati...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439709035024
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:To study awareness of having lesbian women in the consultation among general practitioners (GPs) and their knowledge of lesbian health-related issues. DESIGN:A mailed questionnaire study using closed and open-ended questions, with an analysis using both quantitative and qualitative methods. SETTING:The city...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/028134302321004845
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:Cluster headache (CH) may cause excruciating pain and not all patients get satisfactory help. Patient dissatisfaction with general practitioners (GPs) and neurologists, and use of complementary and alternative treatment (CAM) may reflect this. The authors studied patient satisfaction with doctors' treatment a...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.944410
更新日期:2014-09-01 00:00:00
abstract::Objective: Investigating the state of generalism in medicine from the outlook of general practice. Line of argument: General practice developed when its pioneers, in continuing relationships, learnt to know their patients through the variety of medical situations. From the 50s, there is an increasing literature on the...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.1080/02813432.2019.1639909
更新日期:2019-09-01 00:00:00
abstract::The aim of the study was to evaluate the efficiency of different strategies of intervention to reduce prescription of hypnotics/sedatives in general practice. All 356 general practitioners in the county of Aarhus, Denmark, were divided in three groups. One group received personal information at meetings, another recei...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813439008994941
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVE:It is logical that tailoring implementation strategies to address identified determinants of adherence to clinical practice guidelines should improve adherence. This study aimed to identify and prioritize determinants of adherence to six recommendations for elderly patients with depression. DESIGN AND SETTIN...
journal_title:Scandinavian journal of primary health care
pub_type: 杂志文章
doi:10.3109/02813432.2014.984961
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:A health economic evaluation of two alternative treatment settings, inpatient care and outpatient care, for acute deep venous thrombosis. DESIGN:A randomised multicentre trial in a defined population in regular clinical practice. SETTING:Hospitals and related health care centres in the Jönköping county coun...
journal_title:Scandinavian journal of primary health care
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1080/02813430310003543
更新日期:2004-03-01 00:00:00