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Utilization of primary care versus specialized care in children with and without chronic illness. A population-based study

Westbom, Lena LU and Kornfält, Ragnhild LU (1991) In Acta Paediatrica Scandinavica 80(5). p.534-541
Abstract
Children's utilization of curative care was studied to analyse the division of responsibilities between undifferentiated primary care and specialized care. All chronically ill (n = 510), a control group (n = 287) and the total population 0-15 years of age (n = 6080) in a primary care district were studied using register data. Chronically ill children comprised 8.4% of the total child population and were registered for 1/10 of the primary health care visits, 1/3 of the specialized visits, 1/3 of the hospitalizations and 1/2 of the in-patient days of all children. The yearly ambulatory visits were 3.7/child in the chronically ill and 1.5/child in the control group, of which 1/3 and 2/3, respectively, were to primary care. Utilization of... (More)
Children's utilization of curative care was studied to analyse the division of responsibilities between undifferentiated primary care and specialized care. All chronically ill (n = 510), a control group (n = 287) and the total population 0-15 years of age (n = 6080) in a primary care district were studied using register data. Chronically ill children comprised 8.4% of the total child population and were registered for 1/10 of the primary health care visits, 1/3 of the specialized visits, 1/3 of the hospitalizations and 1/2 of the in-patient days of all children. The yearly ambulatory visits were 3.7/child in the chronically ill and 1.5/child in the control group, of which 1/3 and 2/3, respectively, were to primary care. Utilization of specialized care increased with disability. Chronically ill children visited primary care mainly for acute respiratory infections but seldom for allergic or other chronic conditions. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
primary health care, specialized care, hospitalization, chronic disease, allergy, ambulatory care
in
Acta Paediatrica Scandinavica
volume
80
issue
5
pages
534 - 541
publisher
Taylor & Francis
external identifiers
  • pmid:1872176
  • scopus:0025779984
ISSN
0001-656X
DOI
10.1111/j.1651-2227.1991.tb11898.x
language
English
LU publication?
yes
id
b6ef7d24-b532-478b-8998-44bc1c3b7233 (old id 1106029)
date added to LUP
2008-08-01 11:03:22
date last changed
2017-01-01 07:12:08
@article{b6ef7d24-b532-478b-8998-44bc1c3b7233,
  abstract     = {Children's utilization of curative care was studied to analyse the division of responsibilities between undifferentiated primary care and specialized care. All chronically ill (n = 510), a control group (n = 287) and the total population 0-15 years of age (n = 6080) in a primary care district were studied using register data. Chronically ill children comprised 8.4% of the total child population and were registered for 1/10 of the primary health care visits, 1/3 of the specialized visits, 1/3 of the hospitalizations and 1/2 of the in-patient days of all children. The yearly ambulatory visits were 3.7/child in the chronically ill and 1.5/child in the control group, of which 1/3 and 2/3, respectively, were to primary care. Utilization of specialized care increased with disability. Chronically ill children visited primary care mainly for acute respiratory infections but seldom for allergic or other chronic conditions.},
  author       = {Westbom, Lena and Kornfält, Ragnhild},
  issn         = {0001-656X},
  keyword      = {primary health care,specialized care,hospitalization,chronic disease,allergy,ambulatory care},
  language     = {eng},
  number       = {5},
  pages        = {534--541},
  publisher    = {Taylor & Francis},
  series       = {Acta Paediatrica Scandinavica},
  title        = {Utilization of primary care versus specialized care in children with and without chronic illness. A population-based study},
  url          = {http://dx.doi.org/10.1111/j.1651-2227.1991.tb11898.x},
  volume       = {80},
  year         = {1991},
}