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[Factors determining demands for medical consultations in family practice]
1Pracowni Organizacji i Ekonomiki Ochrony Zdrowia Zakładu Higieny i Epidemiologii Pomorskiej Akademii Medycznej w Szczecinie. pracorg.sci.pam.azczecin.pl
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This study found that women utilized general practitioner consultations more than men. Demand patterns showed similar trends for both sexes, with distinct high, low, and growing demand periods over time.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Public Health Policy
Background:
- The implementation of a common insurance system in Poland aimed to improve healthcare access.
- Understanding patient demand for primary care services is crucial for resource allocation and system efficiency.
Purpose of the Study:
- To quantify the demand for general practitioner (GP) consultations in Poland following the introduction of a national health insurance system.
- To analyze consultation demand based on patient demographics, specifically age and sex.
Main Methods:
- A 36-month prospective cohort study involving 1700 patients (952 women, 748 men) under GP care.
- Consultation index, reflecting service availability and utilization, was used as the primary measure of demand.
- Data collected from March 1999 to February 2002.
Main Results:
- Significant differences in GP consultation demand were observed between men and women.
- Women exhibited higher demand (7.17 consultations) compared to men (4.71 consultations).
- Demand curves for both sexes displayed three distinct phases: initial high demand, a period of low and steady demand, and a subsequent increase.
Conclusions:
- Patient age and sex are significant factors influencing the demand for GP consultations.
- The findings provide valuable data for financial planning and resource management within primary healthcare settings.
- Understanding these demand dynamics can inform policy decisions for optimizing healthcare delivery under insurance schemes.
Unlabelled:
The aim of this study was to determine the demand for general practitioner medical consultations (after three years workings of common insurance wholesome system in Poland). A cohort study of 1700 patients under general practitioner's care (952 women, 748 men) was examined over the period of 36 months (from 1st March 1999 to 28th February 2002). The index of consultations (with very good, monitoring organizational availability of services) was chosen as a measure of demand for general practitioner consultations.
Conclusions:
A significant differentiation of demand for general practitioner consultations according to the patients' age and sex was ascertained. 1. Demand for general practitioner consultations was lower for men (4.71) than for women (7.17). 2. The demand curves have similar characteristics for both men and women. Both curves have three major characteristic periods; the first one having the highest demand for medical consultations, the intermediate one having the lowest and steadiest demand, and the third one being characterized by the continuously growing demand. 3. The results can aid the financial analyses of primary health care.
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