The use of a Swedish telephone medical advice service by the elderly – a population-based study

Autor: K. Dahlgren, M. J. Holzmann, A. C. Carlsson, P. Wändell, J. Hasselström, T. Ruge
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Scandinavian Journal of Primary Health Care, Vol 35, Iss 1, Pp 98-104 (2017)
Druh dokumentu: article
ISSN: 0281-3432
1502-7724
02813432
DOI: 10.1080/02813432.2017.1288816
Popis: Objective: The present study aimed to describe contact made by the elderly to Sweden’s nationwide medical helpline, Healthcare Guide 1177 by Phone (HGP). Other objectives were to study potential gender differences and the association between different HGP referral levels and acute visits to hospital-based emergency departments and acute visits to primary care centres. Design: De-identified data from recorded calls to HGP was extracted for analysis (n = 7477 for the oldest age group). Information about acute visits to emergency departments and to primary care reception was extracted from the patient administration system. Setting: Västerbotten County, Sweden. Subjects: Patients over 80 years. Main outcome measures: Calling and visiting frequencies for different age groups as well as reasons for contact and individual recommendations. Results: The utilisation rate of the telephone advice service for the oldest age group was high, with an incidence rate of 533 per 1000 person-years. Women had a 1.17 times higher incidence rate compared with men. The most common reason for contact was drug-related questions (17% of all contacts). Calls that were recommended to care by a medical specialist correlated with total emergency department visits (r = 0.30, p
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