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首页> 外文期刊>International Journal of Environmental Research and Public Health >Utilization of Norway’s Emergency Wards: The Second 5 Years after the Introduction of the Patient List System
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Utilization of Norway’s Emergency Wards: The Second 5 Years after the Introduction of the Patient List System

机译：挪威急诊病房的利用：引入患者名单系统后的第二个五年

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摘要

Utilization of services is an important indicator for estimating access to healthcare. In Norway, the General Practitioner Scheme, a patient list system, was established in 2001 to enable a stable doctor-patient relationship. Although satisfaction with the system is generally high, people often choose a more accessible but inferior solution for routine care: emergency wards. The aim of the article is to investigate contact patterns in primary health care situations for the total population in urban and remote areas of Norway and for major immigrant groups in Oslo. The primary regression model had a cross-sectional study design analyzing 2,609,107 consultations in representative municipalities across Norway, estimating the probability of choosing the emergency ward in substitution to a general practitioner. In a second regression model comprising 625,590 consultations in Oslo, we calculated this likelihood for immigrants from the 14 largest groups. We noted substantial differences in emergency ward utilization between ethnic Norwegians both in rural and remote areas and among the various immigrant groups residing in Oslo. Oslo utilization of emergency ward services for the whole population declined, and so did this use among all immigrant groups after 2009. Other municipalities, while overwhelmingly ethnically Norwegian, showed diverse patterns including an increase in some and a decrease in others, results which we were unable to explain.
机译：服务的利用是估计获得医疗保健机会的重要指标。挪威于2001年建立了全科医师计划（病人名单系统），以建立稳定的医患关系。尽管对该系统的满意度通常很高，但是人们通常会选择更易于访问但次等的常规护理解决方案：急诊病房。本文的目的是调查挪威城市和偏远地区总人口以及奥斯陆主要移民群体在初级卫生保健情况下的联系方式。初级回归模型的横断面研究设计分析了挪威代表性城市中的2,609,107次咨询，估计了选择急诊病房替代全科医生的可能性。在第二个回归模型中，在奥斯陆进行了625,590次咨询，我们计算了来自14个最大群体的移民的可能性。我们注意到在农村和偏远地区的挪威族裔之间以及居住在奥斯陆的各种移民群体之间在紧急病房利用方面存在很大差异。奥斯陆对整个人口的急诊服务使用率有所下降，2009年之后在所有移民群体中的使用率也下降了。其他城市，尽管绝大多数是挪威人，但表现出多种多样的模式，其中有些增加，而有些减少，结果是无法解释。

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