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dc.contributor.authorSvedahl, Ellen Rabben
dc.contributor.authorPape, Kristine
dc.contributor.authorAustad, Bjarne
dc.contributor.authorVie, Gunnhild Åberge
dc.contributor.authorAnthun, Kjartan Sarheim
dc.contributor.authorCarlsen, Fredrik
dc.contributor.authorBjørngaard, Johan Håkon
dc.date.accessioned2022-01-07T13:50:41Z
dc.date.available2022-01-07T13:50:41Z
dc.date.created2021-11-01T17:22:54Z
dc.date.issued2021
dc.identifier.citationSvedahl, E. R., Pape, K., Austad, B., Vie, G. Å., Anthun, K. S., Carlsen, F. & Bjørngaard, J. H. (2021). Effects of GP characteristics on unplanned hospital admissions and patient safety. A 9-year follow-up of all Norwegian out-of-hours contacts. Family Practice: cmab120. doi:en_US
dc.identifier.issn1460-2229
dc.identifier.urihttps://hdl.handle.net/11250/2836529
dc.description.abstractBackground There are substantial differences in hospital referrals between general practitioners (GPs); however, there is little research on the consequences for patient safety and further healthcare use. Objective To investigate associations between out-of-hours GP characteristics, unplanned hospital admissions, and patient safety. Methods This cohort study included all Norwegian out-of-hours services contacts from 2008 to 2016, linked to registry data on patient characteristics, healthcare use and death, and GP age, sex, specialist status, out-of-hours service experience, and prior admission proportion. We estimated the impact from GP characteristics on (i) immediate unplanned hospital admissions for “all conditions,” (ii) immediate unplanned hospital admissions for “critical conditions,” (iii) 30-day unplanned hospital admissions, (iv) 30-day hospital costs, and (v) 30-day risk of death. To limit confounding, we matched patients in groups by age, time, and location, with an assumption of random assignment of GPs to patients with this design. Results Patients under the care of older and male GPs had fewer immediate unplanned hospital admissions, but the effects on cumulative 30-day unplanned hospital admissions and costs were small. The GPs’ prior admission proportion was strongly associated with both immediate and 30-day unplanned hospital admissions. Higher prior admission proportion was also associated with admitting more patients with critical conditions. There was little evidence of any associations between GP characteristics and 30-day risk of death. Conclusions GPs’ prior admission proportion was strongly associated with unplanned hospital admissions. We found little effects on 30-day mortality, but more restrictive referral practices may threaten patient safety through missing out on critical cases.en_US
dc.language.isoengen_US
dc.publisherOxford University Pressen_US
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/deed.no*
dc.subjectRegisterstudieren_US
dc.subjectRegistry studiesen_US
dc.subjectNorsk pasientregisteren_US
dc.subjectNorwegian Patient Registryen_US
dc.subjectPrimærhelsetjenestenen_US
dc.subjectCommunity health careen_US
dc.subjectHelse- og sykehusplanleggingen_US
dc.subjectHealth Planningen_US
dc.subjectSpesialisthelsetjenestenen_US
dc.subjectSpecialist health servicesen_US
dc.subjectLegevakten_US
dc.subjectPrimary care out-of-hours servicesen_US
dc.subjectFastlegeen_US
dc.subjectGeneral practitioneren_US
dc.subjectPasientsikkerheten_US
dc.subjectPatient safetyen_US
dc.titleEffects of GP characteristics on unplanned hospital admissions and patient safety. A 9-year follow-up of all Norwegian out-of-hours contactsen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2021 The Author(s)en_US
dc.subject.nsiVDP::Epidemiologi medisinsk og odontologisk statistikk: 803en_US
dc.subject.nsiVDP::Epidemiology, medical and dental statistics: 803en_US
dc.source.pagenumber8en_US
dc.source.journalFamily Practiceen_US
dc.identifier.doi10.1093/fampra/cmab120
dc.identifier.cristin1950387
dc.relation.projectResearch Council of Norway: 295989en_US
dc.relation.projectResearch Council of Norway: 256579en_US
dc.source.articlenumbercmab120en_US


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Navngivelse-Ikkekommersiell 4.0 Internasjonal
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