Association between travel distance and face-to-face consultations with general practitioners before an incident acute myocardial infarction: a nationwide register-based spatial epidemiological study

Autor: Gunnar Gislason, Jens Søndergaard, Mogens Lytken Larsen, Thora Majlund Kjærulff, Kristine Bihrmann, Annette Kjær Ersbøll
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Open, Vol 14, Iss 1 (2024)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2023-079124
Popis: Objectives This study examined the association between travel distance to the general practitioner’s (GP) office and no face-to-face GP consultation within 1 year before an incident acute myocardial infarction (AMI).Design A prospective cohort study using multilevel spatial logistic regression analysis of nationwide register data.Setting Nationwide study including contacts to GPs in Denmark prior to an incident AMI in 2005–2017.Participants 121 232 adults (≥30 years) with incident AMI were included in the study.Primary and secondary outcomes measures The primary outcome was odds of not having a face-to-face GP consultation within 1 year before an incident AMI.Results In total, 13 108 (10.8%) of the 121 232 individuals with incident AMI had no face-to-face consultation with the GP within 1 year before the AMI. Population density modified the association between travel distance and no face-to-face GP consultation. Increased odds of no face-to-face GP consultation was observed for medium (25th–75th percentile/1123–5449 m) and long (>75th percentile/5449 m) compared with short travel distance (
Databáze: Directory of Open Access Journals