ArticleScandinavian journal of primary health care2018
Active listing and more consultations in primary care are associated with shorter mean hospitalisation and interacting with psychiatric disorders when adjusting for multimorbidity, age and sex.
Article in Scandinavian journal of primary health care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- A systematic review of risk stratification tools internationally used in primary care settings.Health science reports · 2021Review
- Relationship based care - how general practice developed and why it is undermined within contemporary healthcare systems.Scandinavian journal of primary health care · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePatient-provider relationships with primary care and need for hospitalisations are related within the complex networks comprising healthcare. Our objective was to analyse mean days hospitalised, using registration status (active or passive listing) with a provider and number of consultations as proxies of patient-provider relationships with primary care, adjusting for morbidity burden, age and sex while analysing the contribution of psychiatric disorders. The Johns Hopkins Adjusted Clinical Groups Case-Mix System was used to classify morbidity burden into Resource Utilization Band (RUB) 0-5.
designCross-sectional population study using zero-inflated negative binomial regression. SETTING AND SUBJECTS: All population in the Swedish County of Blekinge (N = 151 731) in 2007.
main outcome measureMean days hospitalised.
resultsActively listed were in mean hospitalised for 0.86 (95%CI 0.81-0.92) and passively listed for 1.23 (95%CI 1.09-1.37) days. For 0-1 consultation mean days hospitalised was 1.16 (95%CI 1.08-1.23) and for 4-5 consultations 0.68 (95%CI 0.62-0.75) days. At RUB3, actively listed were in mean hospitalised for 3.45 (95%CI 2.84-4.07) days if diagnosed with any psychiatric disorder and 1.64 (95%CI 1.50-1.77) days if not. Passively listed at RUB3 were in mean hospitalised for 5.17 (95%CI 4.36-5.98) days if diagnosed with any psychiatric disorder and 2.41 (95%CI 2.22-2.60) days if not.
conclusionsActive listing and more consultations were associated with a decrease in mean days hospitalised, especially for patients with psychiatric diagnoses. IMPLICATIONS: Promoting good relationships with primary care could be an opportunity to decrease mean days hospitalised, especially for patients with more complex diagnostic patterns. Key Points Primary care performance, patient-provider relationships and need for hospitalisation are related within the complex networks comprising healthcare systems. Good patient-provider relationships, i.e. more consultations and active listing, with primary care are associated with decreasing mean days hospitalised. The impact of patient-provider relationships in primary care on mean days hospitalised increased when psychiatric disorders added to patient complexity.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.