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Determinants of general practice utilization in Denmark

A Krasnik1, E Hansen, N Keiding

  • 1Department of Health Services Research, University of Copenhagen.

Danish Medical Bulletin
|December 31, 1997
PubMed
Summary
This summary is machine-generated.

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Health needs, not social factors, drive Danish health service use. This study found gender and health status significantly influence utilization, ensuring equitable access to public healthcare.

Area of Science:

  • Public Health
  • Health Services Research
  • Epidemiology

Background:

  • Understanding factors influencing healthcare utilization is crucial for effective public health policy.
  • Previous research has explored various determinants, but comprehensive analysis integrating individual, community, and organizational factors is needed.

Purpose of the Study:

  • To identify key determinants of health service utilization.
  • To examine the influence of organizational, social, community, and individual characteristics on healthcare access.
  • To assess equity in access to publicly financed health services in Denmark.

Main Methods:

  • A 12-month follow-up study design was employed.
  • A cohort of 3000 randomly selected 50-year-olds from urban and rural Danish counties participated.

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  • Data were collected via participant questionnaires, general practitioner surveys, and the Health Insurance Register, analyzed using multivariate logistic regression.

    • Main Results:

    • Health service utilization was strongly associated with gender and health characteristics, particularly functional status and chronic disease prevalence.
    • Organizational, demographic, and psycho-social factors demonstrated minimal impact on utilization patterns.
    • Publicly financed health service use was primarily determined by health needs.

    Conclusions:

    • Health needs are the principal drivers of healthcare utilization in the Danish public system.
    • The findings suggest geographical and social equity in access to Danish health services.
    • Policy implications focus on addressing health needs as the primary determinant for resource allocation and service provision.