ArticleInternational journal of circumpolar health2025
Changes in office-hours doctor and nurse consultations: six-year register-based follow-up cohort study in the public primary health care of City of Vantaa, Finland.
Article in International journal of circumpolar health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
To investigate how the number of face-to-face office-hours nurse consultations changed in response to the continuously decreasing number of consultations with general practitioners (GPs) in the fourth largest city in Finland, Vantaa we performed a retrospective register-based follow-up cohort study in public primary health care. The number of monthly consultations per practitioner in public primary health care were examined and counted from all recorded face-to-face office-hour consultations with GPs, practical nurses (PNs), registered nurses (RNs), and public health (PHNs) nurses of Vantaa's public primary health care system between 1 January 2009 and 31 December 2014. Over the follow-up period, the monthly mean number of GP consultations adjusted per practitioner decreased from 159 (mean; SD 29) in 2009 to 135 (16) in 2014 (p<0.001), and the number of RN consultations decreased from 34 (14) to 27 (7; p<0.001). There was no significant decrease in the practitioner-adjusted median monthly number of office-hour consultations with PN or PHN. The total number of monthly office-hour consultations per practitioner decreased from 40 (11) to 34 (6; p<0.001). In public office-hours PHC, face-to-face medical consultations have not automatically shifted from GPs to nurses. Surprisingly, recorded RN consultations may even decrease, and the overall productivity of PHC may worsen.
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