ArticleScandinavian journal of primary health care2022
Health care utilization related to the introduction of designated GPs at care homes in Denmark: a register-based study.
Article in Scandinavian journal of primary health care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Danish primary care: a focus on general practice in the Danish healthcare system.Scandinavian journal of primary health care · 2025Article
- The effect of having a care home physician on the care home residents' rate of contacts with primary care physicians and hospitals: a retrospective register-based study.BMC health services research · 2025Article
- Challenges related to transitioning from hospital to temporary care at a skilled nursing facility: a descriptive study.European geriatric medicine · 2024Article
- Healthcare professionals' experiences with the use of antipsychotics in dementia.Exploratory research in clinical and social pharmacy · 2024Article
- Continuity and discontinuity of care among older patients in Danish general practice: a retrospective cohort study.BJGP open · 2023Article
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4 authors.
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Abstract
objectiveTo investigate the correlation between having designated general practitioners (GPs) in residential care homes and the residents' number of contacts with primary care, number of hospital admissions and mortality.
designA retrospective register-based longitudinal study.
settingForty-two care homes in Aarhus Municipality, Denmark. SUBJECTS: A total of 2376 care home residents in the period from 1 September 2016 to 31 December 2018.
main outcome measuresWe used two models to calculate the incidence risk ratio (IRR) for primary care contacts, hospital admission or dying. Model 1 compared the residents' risk time before with their risk time after implementation of the designated GP model. Model 2 included only risk time after implementation and was based on calculations of successful (rate ≥60%) implementation.
resultsWeighted by time at risk, the proportion of females across the two models ranged from 64% to 68%. The largest group was aged '85-94' years. In Model 1, the mere implementation of the model did not correlate with changes in primary care contacts, hospital admissions, or mortality. Contrarily, in Model 2, residents living in care homes with successful implementation had fewer email contacts (IRR = 0.81, 95%CI: 0.68;0.96), fewer telephone contacts (IRR = 0.78, 95%CI: 0.68;0.90) and fewer hospital admissions (IRR = 0.85, 95%CI: 0.73;0.99), but more home visits (IRR = 1.70, 95%CI: 1.29;2.25) than residents living in care homes with lower implementation rates.
conclusionThe designated GP model seems promising, as a high implementation degree of the model correlated with a reduced the number of acute admissions, short-term admissions and readmissions. Future studies should focus on gaining deeper insight into the mechanisms of the designated GP model to further optimize the model.Key pointsA new care model was introduced in Denmark in 2017, designating dedicated GPs to residential care homes for the elderly.Successful implementation correlated with significantly fewer hospital admissions, specifically for acute admissions, but also with fewer short-term admissions and readmissions.The implementation of the model correlated significantly with fewer e-mail and telephone contacts and with more home visits.Future studies should gain more insight into the mechanisms of the designated GP model to further optimize the model.
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