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dc.contributor.authorGoth, Ursula-Georgine Småland
dc.contributor.authorGodager, Geir
dc.date.accessioned2013-02-06T09:27:51Z
dc.date.available2013-02-06T09:27:51Z
dc.date.issued2012
dc.identifier.citationGoth, 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),en_US
dc.identifier.issn1892-9710
dc.identifier.otherFRIDAID 924443
dc.identifier.urihttps://hdl.handle.net/10642/1357
dc.description.abstractObjective: 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 Een_US
dc.language.isoengen_US
dc.publisherNordic Health Economists' Study Groupen_US
dc.relation.ispartofseriesNordic Journal of Health Economics;1(2)
dc.subjectMigranten_US
dc.subjectImmigranten_US
dc.subjectGeneral practitioneren_US
dc.subjectUtilizationen_US
dc.subjectAccessen_US
dc.titleUse of primary care emergency services in Norway: Impact of birth country and duration of residenceen_US
dc.typeAcademic articleen_US
dc.identifier.doihttps://doi.org/10.5617/njhe.227


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