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Comparison of two GP service provider models in older adults: a register-based follow-up study

Aina Enckell, Merja K Laine, Hannu Kautiainen, Mika T Lehto, Kaisu H Pitkälä, Ossi Rahkonen, Hanna-Maria Roitto and Timo Kauppila
BJGP Open 2023; 7 (3): BJGPO.2022.0101. DOI: https://doi.org/10.3399/BJGPO.2022.0101
Aina Enckell
1 Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
2 City of Espoo, Welfare and Health Sector, Espoo, Finland
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  • ORCID record for Aina Enckell
Merja K Laine
1 Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
3 Folkhälsan Research Centre, Helsinki, Finland
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  • For correspondence: merja.k.laine{at}helsinki.fi
Hannu Kautiainen
1 Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
3 Folkhälsan Research Centre, Helsinki, Finland
4 Primary Health Care Unit, Kuopio University Hospital, Kuopio, Finland
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  • ORCID record for Hannu Kautiainen
Mika T Lehto
1 Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
5 City of Vantaa, Vantaa, Finland
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Kaisu H Pitkälä
1 Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
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Ossi Rahkonen
6 Department of Public Health, University of Helsinki, Helsinki, Finland
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Hanna-Maria Roitto
7 Department of Neurosciences, University of Helsinki, Helsinki, Finland
8 Department of Geriatrics, Helsinki University Hospital, Helsinki, Finland
9 Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland
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Timo Kauppila
1 Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
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    Figure 1. (A) Numbers of all face-to-face appointments of patients aged ≥75 years to GPs per 1000 person-years. The line shows the mean, and the dashed area the 95% confidence interval. (B) Numbers of non-urgent scheduled and urgent scheduled appointments to GPs per 1000 person-years. The appointments were derived from 4-knot-restricted cubic spline regression models. Grey areas represent 95% confidence intervals. pyrs = person-years; 0 = timepoint of model change.
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    Figure 2. The top figure illustrates the numbers of all face-to-face appointments to GPs per 1000 person-years and the bottom figure the respective amount of GP workforce expressed as person-years adjusted to the number of patients aged ≥75 years. The appointments were derived from 4-knot-restricted cubic spline regression models. Grey areas represent 95% confidence intervals. pyrs = person-years; 0 = timepoint of model change.
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Comparison of two GP service provider models in older adults: a register-based follow-up study
Aina Enckell, Merja K Laine, Hannu Kautiainen, Mika T Lehto, Kaisu H Pitkälä, Ossi Rahkonen, Hanna-Maria Roitto, Timo Kauppila
BJGP Open 2023; 7 (3): BJGPO.2022.0101. DOI: 10.3399/BJGPO.2022.0101

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Comparison of two GP service provider models in older adults: a register-based follow-up study
Aina Enckell, Merja K Laine, Hannu Kautiainen, Mika T Lehto, Kaisu H Pitkälä, Ossi Rahkonen, Hanna-Maria Roitto, Timo Kauppila
BJGP Open 2023; 7 (3): BJGPO.2022.0101. DOI: 10.3399/BJGPO.2022.0101
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Keywords

  • continuity of patient care
  • follow-up
  • general practitioners
  • health services accessibility
  • patient appointments
  • Primary Health Care

More in this TOC Section

  • Patients’ experiences of phosphatidylethanol in hypertension treatment in primary care: qualitative study
  • Implementing a medication review and deprescribing intervention for older people living with frailty and polypharmacy in general practice: a feasibility study
  • A systematic review of the perspectives of adults with type 2 diabetes mellitus or prediabetes on behavioural weight management
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