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dc.contributor.authorGoth, Ursula-Georgine Smålanden_US
dc.contributor.authorHammer, Hugo Lewien_US
dc.contributor.authorClaussen, Bjørgulfen_US
dc.date.accessioned2014-04-03T11:35:40Z
dc.date.available2014-04-03T11:35:40Z
dc.date.issued2014-03-21en_US
dc.identifier.citationGoth, U.S.; Hammer, H.L.; Claussen, B. Utilization of Norway’s Emergency Wards: The Second 5 Years after the Introduction of the Patient List System. Journal of Environmental Research and Public Health. 2014; 11(3):3375-3386en_US
dc.identifier.issn1660-4601en_US
dc.identifier.otherFRIDAID 1111570en_US
dc.identifier.urihttp://hdl.handle.net/10642/1949
dc.description.abstractUtilization of services is an important indicator for estimating access to healthcare. In Norway, the General Practitioner Scheme, a patient list system, was established in 2001 to enable a stable doctor-patient relationship. Although satisfaction with the system is generally high, people often choose a more accessible but inferior solution for routine care: emergency wards. The aim of the article is to investigate contact patterns in primary health care situations for the total population in urban and remote areas of Norway and for major immigrant groups in Oslo. The primary regression model had a cross-sectional study design analyzing 2,609,107 consultations in representative municipalities across Norway, estimating the probability of choosing the emergency ward in substitution to a general practitioner. In a second regression model comprising 625,590 consultations in Oslo, we calculated this likelihood for immigrants from the 14 largest groups. We noted substantial differences in emergency ward utilization between ethnic Norwegians both in rural and remote areas and among the various immigrant groups residing in Oslo. Oslo utilization of emergency ward services for the whole population declined, and so did this use among all immigrant groups after 2009. Other municipalities, while overwhelmingly ethnically Norwegian, showed diverse patterns including an increase in some and a decrease in others, results which we were unable to explain.en_US
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.relation.ispartofseriesJournal of Environmental Research and Public Health;11(3)en_US
dc.subjectPrimary health careen_US
dc.subjectUlitizationen_US
dc.subjectEmergency wardsen_US
dc.subjectPatient list systemen_US
dc.subjectNorwayen_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en_US
dc.titleUtilization of primary health care services based on countrywide register database in Norway, 10 years after the introduction of the Patient List Systemen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionCreative Commons Attribution Licenceen_US
dc.identifier.doihttp://dx.doi.org/10.3390/ijerph110303375


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