Primary physician services—List size and primary physicians’ service production

Grytten, Jostein; Sørensen, Rune J.

doi:10.1016/j.jhealeco.2007.01.001

Cited by 15 publications

(17 citation statements)

References 36 publications

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“…Longitudinal continuity of care: Having a long-term relationship between primary care providers and their patients in their practice beyond specific episodes of illness or disease [4,13,17,19,22,27,37,40,42,45,48,56,60,66,70,71,73,84,86]. (Some definitions also speak of personal or family continuity, where the continuity of care between a single provider or a family is stressed [4,13,28,45,48,66,70].…”

Section: Resultsmentioning

confidence: 99%

The breadth of primary care: a systematic literature review of its core dimensions

Kringos

Boerma

Hutchinson

et al. 2010

BMC Health Serv Res

466

433

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BackgroundEven though there is general agreement that primary care is the linchpin of effective health care delivery, to date no efforts have been made to systematically review the scientific evidence supporting this supposition. The aim of this study was to examine the breadth of primary care by identifying its core dimensions and to assess the evidence for their interrelations and their relevance to outcomes at (primary) health system level.MethodsA systematic review of the primary care literature was carried out, restricted to English language journals reporting original research or systematic reviews. Studies published between 2003 and July 2008 were searched in MEDLINE, Embase, Cochrane Library, CINAHL, King's Fund Database, IDEAS Database, and EconLit.ResultsEighty-five studies were identified. This review was able to provide insight in the complexity of primary care as a multidimensional system, by identifying ten core dimensions that constitute a primary care system. The structure of a primary care system consists of three dimensions: 1. governance; 2. economic conditions; and 3. workforce development. The primary care process is determined by four dimensions: 4. access; 5. continuity of care; 6. coordination of care; and 7. comprehensiveness of care. The outcome of a primary care system includes three dimensions: 8. quality of care; 9. efficiency care; and 10. equity in health. There is a considerable evidence base showing that primary care contributes through its dimensions to overall health system performance and health.ConclusionsA primary care system can be defined and approached as a multidimensional system contributing to overall health system performance and health.

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Section: Resultsmentioning

confidence: 99%

The breadth of primary care: a systematic literature review of its core dimensions

Kringos

Boerma

Hutchinson

et al. 2010

BMC Health Serv Res

466

433

View full text Add to dashboard Cite

show abstract

“…However, it is simultaneously the case that utilisation of GP services affects the number of such admissions. Ignoring such reverse causalities may cause severe endogeneity biases in the estimated effects of these determinants [29,30].…”

Section: Introductionmentioning

confidence: 99%

Exploring spatial patterns in general practice expenditure

Bech

Lauridsen

2008

Eur J Health Econ

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The determinants for per capita general practitioner (GP) public expenditure across Danish municipalities are analysed using data from the period 1997-2004. Heterogeneity and dependency across years are controlled for. Spatial spillover effects across municipalities are investigated in order to disclose the spatial dynamics of public GP expenditure. The results reveal substantial heterogeneity and dependency across time, as well as the presence of a significant spatial spillover effect. The effects of determinants are seriously over-estimated if such features are ignored. The spatial coefficient is strongly significant and suggests that there is an indirect effect on expenditure of non-observable variables that are geographically concentrated.

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“…These data are at the level of each individual patient. Data for each respondent were merged with information about whether the respondents' regular general practitioner had a deficit or a surplus of patients (for further details of these data see also: Grytten and Sørensen, 2007). The analyses showed that the probability for a patient consulting a primary physician with a deficit of patients is almost twice as high if his own regular general practitioner has a surplus of patients, rather than a number of patients that is just right.…”

Section: Resultsmentioning

confidence: 99%

Busy physicians

Grytten

Sørensen

2008

Journal of Health Economics

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Numerous researchers have explored whether general practitioners compensate for a shortage of patients by providing more items of treatment. Empirical testing of this hypothesis often lacks a valid measure of the relevant patient population. In the Norwegian case, researchers have exploited the fact that most patients are registered on a patient list of one general practitioner. However, a significant number of patients move between physicians. We show that physicians with a deficit of patients on the list attract more external patients than those with a surplus of patients on the list. In contrast with previous research, we find no evidence of revenue compensation when consultations with external patients are taken into account.

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Primary physician services—List size and primary physicians’ service production

Cited by 15 publications

References 36 publications

The breadth of primary care: a systematic literature review of its core dimensions

The breadth of primary care: a systematic literature review of its core dimensions

Exploring spatial patterns in general practice expenditure

Busy physicians

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