Sämre läkarkontinuitet efter vårdvalet för patienter med diabetes. En jämförelse före och efter införande av hälsoval Skåne i Malmö
Engelsk titel: Poorer physician continuity after care choice for patients with diabetes. A comparison before and after introduction of hälsoval Skåne in Malmö
Läs online
Författare:
Tillman, Carin
;
Beckman, Anders
Email: anders.beckman@med.lu.se
Språk: Swe
Antal referenser: 20
Dokumenttyp:
Artikel
UI-nummer: 15067337
Sammanfattning
Continuity of care is one of the core values of family medicine and both patients and doctors consider it a vital aspect of the care of patients with chronic
diseases. In 2009 a national health care reform was implemented in primary care in Sweden. This study compared the longitudinal continuity of care in primary
care before and after this reform in 7121 adult diabetes patients living in Malmö. Our findings reveal that continuity of care decreased substantially after the
reform. The decrease was independent of sex, type of diabetes, age and income. Both before and after the reform men had a significantly higher rate of
continuity of care than women. The number of visits to GPs by diabetes patients decreased slightly each investigated year. This possibly illustrates the
crowding out of diabetes patients, as earlier research showed an increased overall number of GP visits for the whole population in Skåne (the county where
Malmö is situated) after the reform.