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Consultation frequency patterns for older patients in Danish general practice: a nationwide register-based cohort
Jonas Korsholm Olsen1, Sonja Wehberg2, Frans Boch Waldorff3
1Research Unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark jkolsen@health.sdu.dk.
BJGP Open
|February 20, 2025
Summary
General practices are shifting towards a uniform consultation pattern for older patients. This study identified distinct practice profiles, revealing a trend toward consolidation in service delivery over time.
Area of Science:
- Geriatric Medicine
- Primary Care Research
- Health Services Research
Background:
- General practices serve an increasing older population with diverse consultation needs.
- Varied approaches exist in combining face-to-face, telephone, and e-mail consultations, home visits, and chronic care reviews.
Purpose of the Study:
- To identify distinct profiles of general practice consultation types for older patients.
- To examine the relationship between these profiles and practice characteristics.
Main Methods:
- A register-based cohort study included all Danish citizens aged 75 years and older.
- Latent profile analysis was used to examine consultation frequencies from 2017-2021, adjusting for patient demographics.
Main Results:
- Four profiles were identified: a "Majority" profile and three temporary profiles ("Phone heavy", "High frequency", "Phone and e-mail heavy").
- The "Phone heavy" profile was associated with older, singlehanded general practitioners.
- A trend towards a single "Majority" profile was observed by 2021, indicating increased uniformity.
Conclusions:
- General practice consultation patterns for older patients are becoming more standardized.
- Further research is needed to understand the downstream effects of specific consultation provision levels on healthcare utilization.
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