Development of office-hours use of primary health centers in the early years of the 21st century: a 13-year longitudinal follow-up study

Timo Kauppila, Marja Liedes-Kauppila, Mika Lehto, Katri Mustonen, Ossi Rahkonen, Marko Raina, Anna M. Heikkinen

Research output: Contribution to journalArticleScientificpeer-review

Abstract

This study, conducted in a Finnish city, examined whether a long-lasting observed trend in Finnish primary health care, namely, a decreasing rate of office-hour visits to general practitioners (GPs), would lead to reduced services for specific gender, diagnosis or age groups. This was an observational retrospective follow-up study. The annual number of visits to office-hour primary care GPs in different gender, diagnosis and age groups was recorded during a 13-year follow-up period. The effect of the decreasing visit rate on the annual mortality rate in different age and gender groups was also studied. The total number of monthly visits to office-hour GPs decreased slowly over the whole study period. This decrease was stronger in women and older people. The proportion of recorded infectious diseases (Groups A and J and especially diagnoses related to infections of respiratory airways) decreased. Proportions of recorded chronic diseases increased (Group I, cardiovascular diseases, diabetes and osteoarthrosis) during the follow-up. The annual rate of visits to office-hour GP/per GP decreased. There was a decrease in the mortality in two of the age groups (20-64, 65+ years) and no change in the youngest population (0-19 years). The decrease in the office-hours GP activity does not seem to increase mortality either.

Original languageEnglish
Pages (from-to)2033405
JournalInternational Journal of Circumpolar Health
Volume81
Issue number1
DOIs
Publication statusPublished - 2022
Externally publishedYes
Publication typeA1 Journal article-refereed

Keywords

  • Adult
  • Aged
  • Female
  • Finland/epidemiology
  • Follow-Up Studies
  • Humans
  • Retrospective Studies
  • Young Adult

Fingerprint

Dive into the research topics of 'Development of office-hours use of primary health centers in the early years of the 21st century: a 13-year longitudinal follow-up study'. Together they form a unique fingerprint.

Cite this