Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study

作者：Eide Torunn Bjerve^*; Straand Jorund; Bjorkelund Cecilia; Kosunen Elise; Thorgeirsson Ofeigur; Vedsted Peter; Rosvold Elin Olaug

来源：Scandinavian Journal of Primary Health Care, 2017, 35(2): 153-161.

DOI：10.1080/02813432.2017.1333323

• General practice
• Organisation and Administration
• health services
• Nordic countries
• diagnosis
• equipment
• procedures
• QUALICOPC

Objective: We aim to describe medical services provided by Nordic general practitioners (GPs), and to explore possible differences between the countries.
Design and setting: We did a comparative analysis of selected data from the Nordic part of the study Quality and Costs of Primary Care in Europe (QUALICOPC).
Subjects: A total of 875 Nordic GPs (198 Norwegian, 80 Icelandic, 97 Swedish, 212 Danish and 288 Finnish) answered identical questionnaires regarding their practices.
Main outcome measures: The GPs indicated which equipment they used in practice, which procedures that were carried out, and to what extent they were involved in treatment/follow-up of a selection of diagnoses.
Results: The Danish GPs performed minor surgical procedures significantly less frequent than GPs in all other countries, although they inserted IUDs significantly more often than GPs in Iceland, Sweden and Finland. Finnish GPs performed a majority of the medical procedures more frequently than GPs in the other countries. The GPs in Iceland reported involvement in a more narrow selection of conditions than the GPs in the other countries. The Finnish GPs had more advanced technical equipment than GPs in all other Nordic countries.
Conclusions: GPs in all Nordic countries are well equipped and offer a wide range of medical services, yet with a substantial variation between countries. There was no clear pattern of GPs in one country doing consistently more procedures, having consistently more equipment and treating a larger diversity of medical conditions than GPs in the other countries. However, structural factors seemed to affect the services offered.

• 出版日期2017
• 单位河北医科大学