Continuity of GP care is associated with lower use of complementary and alternative medical providers: a population-based cross-sectional surveyReportar como inadecuado




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BMC Health Services Research

, 14:629

Organization, structure and delivery of healthcare

Abstract

BackgroundContinuity of general practitioner GP care is associated with reduced use of emergency departments, hospitalisation, and outpatient specialist services. Evidence about the relationship between continuity and use of complementary and alternative medical CAM providers has so far been lacking. The aim of this study was to test the association between continuity of GP care and the use of CAM providers.

MethodsWe used questionnaire data from the sixth Tromsø Study, conducted in 2007–8. Using descriptive statistical methods, we estimated the proportion using a CAM provider among adults 30–87 years who had visited a GP during the last 12 months. By means of logistic regressions, we studied the association between the duration of the GP-patient relationship and the use of CAM providers. Analyses were adjusted for the frequency of GP visits, gender, age, marital status, income, education, and self-rated health and other proxies for health care needs.

ResultsOf 9,743 eligible GP users, 85.1% had seen the same GP for more than two years, 83.7% among women and 86.9% among men. The probability of visiting a CAM provider was lower among those with a GP relationship of more than 2 years compared to those with a shorter GP relationship odds ratio OR 0.81, 95% confidence interval CI 0.68-0.96. Other factors associated with CAM use were female gender, poor health, low age and high income. There was no association with education.

ConclusionsContinuity of GP care as measured by the duration of the GP-patient relationship was associated with lower use of CAM providers. Together with previous studies this suggests that continuity of GP care may contribute to health care delivery from fewer providers.

KeywordsContinuity of patient care General practice Primary health care Complementary and alternative medical providers Cross-sectional study Norway AbbreviationsCAMComplementary and Alternative Medicine

CIConfidence Interval

EQ-5DEuro Quality of Life Group five Dimensions score scale

GPGeneral Practitioner

NOKNorwegian Kroner

OROdds ratio

RHOSpearman’s rank correlation

Tromsø 6The sixth Tromsø Study

Electronic supplementary materialThe online version of this article doi:10.1186-s12913-014-0629-7 contains supplementary material, which is available to authorized users.

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Autor: Anne Helen Hansen - Agnete E Kristoffersen - Olaug S Lian - Peder A Halvorsen

Fuente: https://link.springer.com/







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