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Nätvårdsanvändare i Skåne kontaktade oftare vårdcentral : Användare av digitala vårdtjänster kontaktade fysiska vårdcentraler oftare än andra och gjorde inte färre akutbesök

Ellegård, Lina Maria LU and Kjellsson, Gustav (2019) In Läkartidningen 116.
Abstract
Since 2016, a number of companies offering primary care services via chats or video calls have entered the Swedish primary care market. This is the first study to investigate whether these services replace other primary care services or if they induce more care and potentially even increase the workload of traditional caregivers. Using administrative care register data from a Swedish region, we find that the use of telemedicine services is associated with higher use of other primary care services (visits and telephone/mail contacts). Further, telemedicine users visit the emergency room at least as often as other residents. We obtain similar results when using various strategies to account for differences between telemedicine users and... (More)
Since 2016, a number of companies offering primary care services via chats or video calls have entered the Swedish primary care market. This is the first study to investigate whether these services replace other primary care services or if they induce more care and potentially even increase the workload of traditional caregivers. Using administrative care register data from a Swedish region, we find that the use of telemedicine services is associated with higher use of other primary care services (visits and telephone/mail contacts). Further, telemedicine users visit the emergency room at least as often as other residents. We obtain similar results when using various strategies to account for differences between telemedicine users and non-users. However, we cannot completely rule out that an association between transitory health problems and telemedicine use explains the results. (Less)
Abstract (Swedish)
Digitala läkarbesök har potential att avlasta den traditionella vården, men kan också leda till ökad vårdanvändning.

Invånare i Region Skåne som använde digitala vårdtjänster 2016–2018 kontaktade även fysiska vårdcentraler oftare än andra invånare och besökte akutmottagning minst lika ofta.

Resultaten består efter justering för tidigare vårdanvändande, sjuklighet (vissa diagnoser), ålder, kön och inkomst.

Det går dock inte att helt utesluta att resultaten förklaras av större sjuklighet bland nätvårdsanvändare.
Please use this url to cite or link to this publication:
author
and
organization
alternative title
Telemedicine services associated with higher use of regular primary care in a Swedish region
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
116
publisher
Swedish Medical Association
external identifiers
  • pmid:31638708
ISSN
0023-7205
project
Public Management Research
language
Swedish
LU publication?
yes
id
02e7345f-4fb3-4b30-abe4-59a4d56dfe88
alternative location
http://www.lakartidningen.se/Klinik-och-vetenskap/Originalstudie/2019/10/Natvardsanvandare-i-Skane-kontaktade-oftare-vardcentral/#eng
date added to LUP
2019-10-18 14:05:04
date last changed
2022-02-01 01:23:27
@article{02e7345f-4fb3-4b30-abe4-59a4d56dfe88,
  abstract     = {{Since 2016, a number of companies offering primary care services via chats or video calls have entered the Swedish primary care market. This is the first study to investigate whether these services replace other primary care services or if they induce more care and potentially even increase the workload of traditional caregivers. Using administrative care register data from a Swedish region, we find that the use of telemedicine services is associated with higher use of other primary care services (visits and telephone/mail contacts). Further, telemedicine users visit the emergency room at least as often as other residents. We obtain similar results when using various strategies to account for differences between telemedicine users and non-users. However, we cannot completely rule out that an association between transitory health problems and telemedicine use explains the results.}},
  author       = {{Ellegård, Lina Maria and Kjellsson, Gustav}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  month        = {{10}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Nätvårdsanvändare i Skåne kontaktade oftare vårdcentral : Användare av digitala vårdtjänster kontaktade fysiska vårdcentraler oftare än andra och gjorde inte färre akutbesök}},
  url          = {{http://www.lakartidningen.se/Klinik-och-vetenskap/Originalstudie/2019/10/Natvardsanvandare-i-Skane-kontaktade-oftare-vardcentral/#eng}},
  volume       = {{116}},
  year         = {{2019}},
}