Evidence map›Paper›PMID 28277057›Full record

ArticleScandinavian journal of primary health care2017

Reasons for attending a general emergency outpatient clinic versus a regular general practitioner - a survey among immigrant and native walk-in patients in Oslo, Norway.

Sven Eirik Ruud, Per Hjortdahl, Bård Natvig

Abstract readComparative Study
In one paragraph

Article in Scandinavian journal of primary health care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Review
  3. Observational
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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

3 authors.

Sven Eirik Ruuda Department of General Practice , Institute of Health and Society, University of Oslo , Oslo , Norway.
Per Hjortdahla Department of General Practice , Institute of Health and Society, University of Oslo , Oslo , Norway.
Bård Natviga Department of General Practice , Institute of Health and Society, University of Oslo , Oslo , Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore reasons for attending a general emergency outpatient clinic versus a regular general practitioner (RGP).

designCross-sectional study using a multilingual anonymous questionnaire.

settingNative and immigrant walk-in patients attending a general emergency outpatient clinic in Oslo (Monday-Friday, 08:00-23:00) during 2 weeks in September 2009. SUBJECTS: We included 1022 walk-in patients: 565 native Norwegians (55%) and 457 immigrants (45%).

main outcome measuresPatients' reasons for attending an emergency outpatient clinic versus their RGP.

resultsAmong patients reporting an RGP affiliation, 49% tried to contact their RGP before this emergency encounter: 44% of native Norwegian and 58% of immigrant respondents. Immigrants from Africa [odds ratio (OR) = 2.55 (95% confidence interval [CI]: 1.46-4.46)] and Asia [OR = 2.32 (95% CI: 1.42-3.78)] were more likely to contact their RGP before attending the general emergency outpatient clinic compared with native Norwegians. The most frequent reason for attending the emergency clinic was difficulty making an immediate appointment with their RGP. A frequent reason for not contacting an RGP was lack of access: 21% of the native Norwegians versus 4% of the immigrants claimed their RGP was in another district/municipality, and 31% of the immigrants reported a lack of affiliation with the RGP scheme. CONCLUSIONS AND IMPLICATIONS: Access to primary care provided by an RGP affects patients' use of emergency health care services. To facilitate continuity of health care, policymakers should emphasize initiatives to improve access to primary health care services. KEY POINTS Access to immediate primary health care provided by a regular general practitioner (RGP) can reduce patients' use of emergency health care services. The main reason for attending a general emergency outpatient clinic was difficulty obtaining an immediate appointment with an RGP. A frequent reason for native Norwegians attending a general emergency outpatient clinic during the daytime is having an RGP outside Oslo. Lack of affiliation with the RGP scheme is a frequent reason for attending a general emergency outpatient clinic among immigrants.

Indexed as

Ambulatory CareGeneral PractitionersHealth Services AccessibilityMotivationPatient Acceptance of Health CarePrimary Health CareAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCross-Sectional StudiesEmergency Medical ServicesEmigrants and ImmigrantsFemalecontinuity of patient careemergency medical servicesemigrants and immigrantsgeneral practicegeneral practitionerNorwaypatient acceptance of health carePrimary health care

Identifiers

PMID28277057
PMCPMC5361418

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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.