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Determinants of hospitalisation rates: does primary health care play a role?
Kjell Lindström1, Sven Engström, Calle Bengtsson
1Primary Health Care Centre of Habo, Linköping, Sweden. kjell.lindstrom@ltjkpg.se
Objective:
To analyse the influence of rates of general practitioner visits on rates of hospitalisations.
Design:
Ecological cross-sectional study of factors influencing hospitalisation rates. Aggregated data on primary care centre area level.
Setting:
The county of Ostergötland, Sweden, with 3 hospital districts and 41 primary health care centres, and the hospital district of Jönköping in the county of Jönköping, Sweden, with 11 primary health care centres.
Outcome Measure:
Hospitalisation rates.
Results:
Age and rates of outpatient hospital visits were the most important factors explaining the variation in rates of hospitalisations between the primary health care centre areas. Hospital districts, socioeconomic factors and rates of GP visits also influenced the rates of hospitalisations.
Conclusion:
When evaluating the influence of primary health care on the rates of hospitalisations, both socioeconomic factors and health care structure must be taken into consideration. Doing this, the rates of GP visits correlated negatively with the rates of hospitalisations.
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