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Use of primary care emergency services in Norway: Impact of birth country and duration of residence

Goth, Ursula-Georgine Småland; Godager, Geir
Academic article
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URI
https://hdl.handle.net/10642/1357
Date
2012
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  • HV - Institutt for rehabiliteringsvitenskap og helseteknologi [323]
  • LUI - Fakultet for lærerutdanning og internasjonale studier [21]
Original version
Goth, U.S., Godager, G. (2012). Use of primary care emergency services in Norway: Impact of birth country and duration of residence. Nordic Journal of Health Economics, 1(2),   https://doi.org/10.5617/njhe.227
Abstract
Objective: In Norway, the General Practitioner Scheme was established in 2001.

Satisfaction with the system is generally high. However, people often choose to

visit community-based emergency wards (EW) for routine care instead. The aim

of this paper is to describe which factors influence the choice of seeking care at

the EW.

Design, setting, and patients: Prior national research on utilization patterns has

been based mostly on surveys showing a low response rate. By using merged

register data, we analyzed the choice of the EW as a care provider in Oslo

(Norway) for 2006 and 2007. Applying 1,934,248 observations of 279,531

different individuals, we estimated the probability of choosing the emergency

ward for the Norwegian-born population as well as for the14-largest immigrant

groups. Substantial variation between groups was identified.

Main outcome: The proportion of EW visits was highest among patients from

Somalia (11.7 percent) while the lowest proportion of EW users was among

immigrants from Germany and Vietnam (5.3 percent). The results vary

substantially within individual migrant groups; gender, age, and the duration of

residence each influence the probability of visiting an EW.

Conclusions: We found large differences in the probability of using an EW

between individuals from immigrant populations, presumably because of barriers

in access to primary care. Continuity in the physician–patient relationship is an

important policy goal. A suggestion for policy is thus to improve communication

about the organization of the Norwegian health-care sector to newly arrived

immigrants, as well as to patients at the E
Publisher
Nordic Health Economists' Study Group
Series
Nordic Journal of Health Economics;1(2)

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