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首页> 外文期刊>BMJ Open >Associations between primary healthcare and unplanned medical admissions in Norway: a multilevel analysis of the entire elderly population
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Associations between primary healthcare and unplanned medical admissions in Norway: a multilevel analysis of the entire elderly population

机译：挪威的基本医疗保健与计划外医疗之间的关联：对整个老年人口的多层次分析

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Objective To examine if individual risk of unplanned medical admissions (UMAs) was associated with municipality general practitioner (GP) or long-term care (LTC) volume among the entire Norwegian elderly population. Design Cross-sectional population-based study. Setting 428 of 430 Norwegian municipalities in 2009. Participants All Norwegians aged ≥65?years (n=721?915; 56% women—15% of the total population). Main outcome measure Individual risk of UMA. Results Using a multilevel analytical framework, consisting of individuals (N=722?464) nested within municipalities (N=428), nested within local hospital areas (N=52) we found no association between municipality GP or LTC volume and UMAs. However, we found that higher LTC levels of provision were associated with fewer hospitalisations among the older age groups. A modest geographical variability was observed for UMA in adjusted analysis. Conclusions A higher primary healthcare volume was only associated with fewer UMAs among the oldest old in a universally accessible healthcare system.
机译：目的探讨整个挪威老年人口中计划外医疗收治（UMA）的个人风险是否与市政全科医生（GP）或长期护理（LTC）量相关。设计基于人群的横断面研究。 2009年是430个挪威直辖市中的428个。参与者所有年龄≥65岁的挪威人（n = 721-915岁;妇女占56％，占总人口的15％）。主要结果衡量指标UMA的个人风险。结果使用多级分析框架，由嵌套在市政当局（N = 428）中的个人（N = 722？464），嵌套在当地医院区域（N = 52）中的个人组成，我们发现市政当局GP或LTC数量与UMA之间没有关联。但是，我们发现，较高的长期护理费用水平与年龄较大的人群中较少的住院治疗相关。在调整后的分析中，UMA的地域差异较小。结论普及医疗系统中最老的老年人中，较高的初级医疗保健量仅与较少的UMA相关。

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