Changes in location and number of nurse consultations as the supply of general practitioners decreases in primary health care: six-year register-based follow-up cohort study in the city of Vantaa, Finland

Autor: Aina Enckell, Merja K. Laine, Hanna-Maria Roitto, Marko Raina, Timo Kauppila
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Scandinavian Journal of Primary Health Care, Vol 42, Iss 4, Pp 643-649 (2024)
Druh dokumentu: article
ISSN: 02813432
1502-7724
0281-3432
DOI: 10.1080/02813432.2024.2375548
Popis: Objective To investigate whether the location and the number of nurse consultations have changed in response to the continuously decreasing number of GP consultations in the fourth-largest city in Finland. It has been suggested that nurse consultations are replacing GP consultations.Design A retrospective register-based follow-up cohort study.Setting Public primary health care in the City of Vantaa, Finland.Subjects All documented face-to-face office-hour consultations with practical and registered nurses, and consultations with practical and registered nurse in the emergency department of Vantaa primary health care between 1 January 2009 and 31 December, 2014.Main outcome measures Change in the number of consultations with practical and registered nurses between 2009 and 2014 in primary health care both during office-hours and in the emergency department.Results Over the follow-up period, the monthly median number of practical nurse consultations in the emergency department per 1000 inhabitants increased from 1.6 (interquartile range [IQR] 1.3–1.7) to 10.5 (10.3–12.2) (p
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