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Research

Advanced Access scheduling in general practice and use of primary care: a Danish population-based matched cohort study

Maria Bang, Henrik Schou Pedersen, Bodil Hammer Bech, Claus Høstrup Vestergaard, Jannik Falhof, Hans Christian Kjeldsen, Peter Vedsted and Mogens Vestergaard
BJGP Open 2020; 4 (5): bjgpopen20X101091. DOI: https://doi.org/10.3399/bjgpopen20X101091
Maria Bang
1Reseach Unit for General Practice, Aarhus, Denmark
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  • For correspondence: mariabang91@gmail.com
Henrik Schou Pedersen
1Reseach Unit for General Practice, Aarhus, Denmark
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Bodil Hammer Bech
2Department of Public Health, Aarhus University, Aarhus, Denmark
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Claus Høstrup Vestergaard
1Reseach Unit for General Practice, Aarhus, Denmark
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Jannik Falhof
1Reseach Unit for General Practice, Aarhus, Denmark
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Hans Christian Kjeldsen
1Reseach Unit for General Practice, Aarhus, Denmark
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Peter Vedsted
1Reseach Unit for General Practice, Aarhus, Denmark
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Mogens Vestergaard
1Reseach Unit for General Practice, Aarhus, Denmark
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Article Figures & Data

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    Figure 1. Daytime face-to-face consultations in general practice 1 year before and 1 year after the index date. The vertical line marks the index date. Upper part: mean number of consultations per patient per 3 months with 95% confidence intervals (CIs) for patients listed with advanced access scheduling (AAS) practices and reference practices. Lower part: adjusted incident rate ratios (aIRRs) with 95% CIs adjusted for sex, age, vital status, ethnic group, cohabitation status, family income, highest-achieved education level, Charlson Comorbidity Index, calendar time, and month; all measured at the index date.
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    Figure 2. Out-of-hours face-to-face and phone consultations 1 year before and 1 year after the index date. The vertical line marks the index date. Upper part: mean number of consultations per patient per 3 months with 95% confidence intervals (CIs) for patients listed with advanced access scheduling (AAS) practices and reference practices. Lower part: adjusted incident rate ratios (aIRRs) with 95% CIs adjusted for sex, age, vital status, ethnic group, cohabitation status, family income, highest-achieved education level, Charlson Comorbidity Index, calendar time, and month; all measured at the index date.

Tables

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    Table 1. Characteristics of study population at index date
    Patients in AAS practices, n (%)Patients in references practices, n (%)
    N (%)161 901 (36.0)287 837 (64.0)
    Clinic size, mean (SD)4906 (1902.2)4361 (1606.0)
    Mean age, years (SD)41.52 (23.49)41.76 (23.54)
    Sex
    Male82 671 (51.1)145 101 (50.4)
    Female79 230 (48.9)142 736 (49.6)
    Education level
    ≤10 years46 178 (28.5)80 727 (28.1)
    >10 and ≤15 years61 117 (37.8)109 013 (37.9)
    >15 years25 825 (16.0)46 523 (16.2)
    Unknown28 781 (17.7)51 575 (17.8)
    Cohabitation status
    Cohabiting80 398 (49.7)142 777 (49.6)
    Living alone34 067 (21.0)61 032 (21.2)
    Children living at home32 078 (19.8)57 327 (19.9)
    Children not living at home15 358 (9.5)26 701 (9.3)
    Family income
    Low55 095 (34.0)93 870 (32.6)
    Medium54 032 (33.4)95 464 (33.2)
    High52 774 (32.6)98 503 (34.2)
    Ethnic group
    Danish146 473 (90.5)262 050 (91.0)
    Immigrant12 146 (7.5)20 485 (7.1)
    Descendants of immigrants3282 (2.0)5302 (1.9)
    Calendar time
    January 2011–December 201554 282 (33.5)98 532 (34.2)
    January 2016–December 201661 822 (38.2)106 132 (36.9)
    January 2017–December 201745 797 (28.3)83 173 (28.9)
    Number of chronic conditions
    0127 580 (78.8)226 628 (78.7)
    1–227 787 (17.2)49 416 (17.2)
    ≥36534 (4.0)11 793 (4.1)
    • AAS
      advanced access scheduling
      SD
      standard deviation

Supplementary Data

SUPPLEMENTARY MATERIALS

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    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Advanced Access scheduling in general practice and use of primary care: a Danish population-based matched cohort study
Maria Bang, Henrik Schou Pedersen, Bodil Hammer Bech, Claus Høstrup Vestergaard, Jannik Falhof, Hans Christian Kjeldsen, Peter Vedsted, Mogens Vestergaard
BJGP Open 2020; 4 (5): bjgpopen20X101091. DOI: 10.3399/bjgpopen20X101091

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Advanced Access scheduling in general practice and use of primary care: a Danish population-based matched cohort study
Maria Bang, Henrik Schou Pedersen, Bodil Hammer Bech, Claus Høstrup Vestergaard, Jannik Falhof, Hans Christian Kjeldsen, Peter Vedsted, Mogens Vestergaard
BJGP Open 2020; 4 (5): bjgpopen20X101091. DOI: 10.3399/bjgpopen20X101091
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Keywords

  • primary health care
  • general practice
  • after-hours care
  • health services accessibility
  • Denmark

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