Impact of comorbidity on the individual's choice of primary health care provider.
Zielinski, Andrzej LU ; Håkansson, Anders ; Beckman, Anders LU
and Halling, Anders
LU
(2011)
In Scandinavian Journal of Primary Health Care
29.
p.104-109
- Abstract
- Abstract Objective. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. Design and setting. The study was a register-based closed cohort study in one private and one public PHC practice in Blekinge County in southern Sweden. Subjects. A cohort (12 696 individuals) was studied comprising all those listed with the public or private PHC practice on 1 October 2005 who were also listed with the public PHC practice on 1 October 2004. Main outcome measures. The listing/re-listing behaviour of the population in this cohort was studied at two points in time, 1 October 2005 and 1 October 2006, with respect to age,... (More)
- Abstract Objective. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. Design and setting. The study was a register-based closed cohort study in one private and one public PHC practice in Blekinge County in southern Sweden. Subjects. A cohort (12 696 individuals) was studied comprising all those listed with the public or private PHC practice on 1 October 2005 who were also listed with the public PHC practice on 1 October 2004. Main outcome measures. The listing/re-listing behaviour of the population in this cohort was studied at two points in time, 1 October 2005 and 1 October 2006, with respect to age, gender, and comorbidity level as measured by the ACG Case-Mix system. Results. Individuals listed with the public practice both on 1 October 2005 and one year later were significantly older, were more often females, and had a higher comorbidity level than individuals listed with the private practice. Individuals with a higher comorbidity level were more likely to re-list or to stay listed with the public practice. Conclusions. This study shows that the probability of choosing a public instead of private PHC provider increased with higher age and comorbidity level of the individuals. It is suggested that using a measure of comorbidity can help us understand more about the chronically ill individual's choice of health care provider. This would be of importance when health care policy-makers decide on reimbursement system or organization of PHC. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1883872
- author
- Zielinski, Andrzej
LU
; Håkansson, Anders
; Beckman, Anders
LU
and Halling, Anders
LU
- organization
- publishing date
- 2011
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Primary Health Care
- volume
- 29
- pages
- 104 - 109
- publisher
- Taylor & Francis
- external identifiers
-
- wos:000290731300008
- pmid:21413840
- scopus:79956200988
- ISSN
- 0281-3432
- DOI
- 10.3109/02813432.2011.562363
- language
- English
- LU publication?
- yes
- id
- 9bbd89b8-3302-49c2-a835-4b715b6b1913 (old id 1883872)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/21413840?dopt=Abstract
- date added to LUP
- 2016-04-01 10:28:35
- date last changed
- 2022-01-25 23:37:29
@article{9bbd89b8-3302-49c2-a835-4b715b6b1913,
abstract = {{Abstract Objective. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. Design and setting. The study was a register-based closed cohort study in one private and one public PHC practice in Blekinge County in southern Sweden. Subjects. A cohort (12 696 individuals) was studied comprising all those listed with the public or private PHC practice on 1 October 2005 who were also listed with the public PHC practice on 1 October 2004. Main outcome measures. The listing/re-listing behaviour of the population in this cohort was studied at two points in time, 1 October 2005 and 1 October 2006, with respect to age, gender, and comorbidity level as measured by the ACG Case-Mix system. Results. Individuals listed with the public practice both on 1 October 2005 and one year later were significantly older, were more often females, and had a higher comorbidity level than individuals listed with the private practice. Individuals with a higher comorbidity level were more likely to re-list or to stay listed with the public practice. Conclusions. This study shows that the probability of choosing a public instead of private PHC provider increased with higher age and comorbidity level of the individuals. It is suggested that using a measure of comorbidity can help us understand more about the chronically ill individual's choice of health care provider. This would be of importance when health care policy-makers decide on reimbursement system or organization of PHC.}},
author = {{Zielinski, Andrzej and Håkansson, Anders and Beckman, Anders and Halling, Anders}},
issn = {{0281-3432}},
language = {{eng}},
pages = {{104--109}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Journal of Primary Health Care}},
title = {{Impact of comorbidity on the individual's choice of primary health care provider.}},
url = {{https://lup.lub.lu.se/search/files/1873419/1894425.pdf}},
doi = {{10.3109/02813432.2011.562363}},
volume = {{29}},
year = {{2011}},
}