ArticleScandinavian journal of primary health care2013
Distance to hospital and socioeconomic status influence secondary health care use.
Article in Scandinavian journal of primary health care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Educational differences in cancer incidence, stage at time of diagnosis, and survival in Norway.Research in health services & regions · 2025Article
- Lower ambulatory care availability and greater hospital capacity are associated with higher hospital case volumes.Research in health services & regions · 2025Article
- Urban-rural differences in pneumonia risk in patients with chronic obstructive pulmonary disease: a nationwide register-based study.European clinical respiratory journal · 2025Article
- Variations in healthcare utilization for mental health problems prior to suicide by socioeconomic status: a Norwegian register-based population study.BMC health services research · 2024Article
- Effects of the Implementation of Transport-Driven Poverty Alleviation Policy on Health Care-Seeking Behavior and Medical Expenditure Among Older People in Rural Areas: Quasi-Experimental Study.JMIR public health and surveillance · 2023Article
- Development of an Emergency Revisit Score for Patients With Drug-Related Problems.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2021Article
- Medical malpractice in Norway: frequency and distribution of disciplinary actions for medical doctors 2011-2018.BMC health services research · 2021Article
- Not the Last Word: Medicare for All is Not Enough.Clinical orthopaedics and related research · 2020Article
- Article
- High hospital readmission rates for patients aged ≥65 years associated with low socioeconomic status in a Swedish region: a cross-sectional study in primary care.Scandinavian journal of primary health care · 2018Article
- Demographic, social, economic and geographic factors associated with long-term outcomes in a cohort of cardiac arrest survivors.Resuscitation · 2018Article
- Severe and Moderate Asthma Exacerbations in Asthmatic Children and Exposure to Ambient Air Pollutants.International journal of environmental research and public health · 2016Article
- The Impact of Hospital Closures and Hospital and Population Characteristics on Increasing Emergency Department Volume: A Geographic Analysis.Population health management · 2015Article
- Association between general practice characteristics and use of out-of-hours GP cooperatives.BMC family practice · 2015Observational
- Has socioeconomic equity increased in somatic specialist care: a register-based cohort study from Finland in 1995-2010.BMC health services research · 2014Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to investigate how distance to hospital and socioeconomic status (SES) influence the use of secondary health care (SHC) when taking comorbidity into account. DESIGN AND
settingA register-based study in Östergötland County. SUBJECTS: The adult population of Östergötland County.
main outcome measuresOdds of SHC use in the population and ates of SHC use by patients were studied after taking into account comorbidity level assigned using the Adjusted Clinical Groups (ACG) Case-Mix System. The baseline for analysis of SES was individuals with the lowest education level (level 1) and the lowest income (1st quartile).
resultsThe study showed both positive and negative association between SES and use of SHC. The risk of incurring SHC costs was 12% higher for individuals with education level 1. Individuals with income in the 2nd quartile had a 4% higher risk of incurring SHC costs but a 17% lower risk of emergency department visits. Individuals with income in the 4th quartile had 9% lower risk of hospitalization. The risk of using SHC services for the population was not associated with distance to hospital. Patients living over 40 km from hospital and patients with higher SES had lower use of SHC services.
conclusionsIt was found that distance to hospital and SES influence SHC use after adjusting for comorbidity level, age, and gender. These results suggest that GPs and health care managers should pay a higher degree of attention to this when planning primary care services in order to minimize the potentially redundant use of SHC.
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