Evidence map›Paper›PMID 24727427›Full record

ArticleBMJ open2014

Associations between primary healthcare and unplanned medical admissions in Norway: a multilevel analysis of the entire elderly population.

Trygve S Deraas, Gro R Berntsen, Andy P Jones, Olav H Førde, Erik R Sund

Abstract read
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Observational
  3. Observational
  4. Article
  5. Contact with primary health care physicians before an acute hospitalisation.Scandinavian journal of primary health care · 2019
    Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Trygve S DeraasCenter of Clinical Documentation and Evaluation, Northern Norway Regional Health Authority, Box 6, N-9038 Tromsø, Norway.
Gro R Berntsen
Andy P Jones
Olav H Førde
Erik R Sund

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo 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.

designCross-sectional population-based study.

setting428 of 430 Norwegian municipalities in 2009.

participantsAll Norwegians aged ≥65 years (n=721 915; 56% women-15% of the total population).

main outcome measureIndividual risk of UMA.

resultsUsing 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.

conclusionsA higher primary healthcare volume was only associated with fewer UMAs among the oldest old in a universally accessible healthcare system.

Indexed as

AgedAged, 80 and overAge FactorsCross-Sectional StudiesFemaleHospitalizationHumansLong-Term CareMaleNorwayPrimary Health CareSex FactorsLong-term CarePrimary CareSmall Area AnalysesUnplanned Admissions

Identifiers

PMID24727427
PMCPMC3987736

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.