Specialist consultations in primary health care-A possible substitute for hospital care?

Health Policy

Volumn 78, Issue 1, 2006, Pages 93-100

  Linnala, Aarno ^a   Aromaa, Arpo ^b   Mattila, Kari ^c  

^a SOCIAL INSURANCE INSTITUTION   (Finland)

^b NATIONAL PUBLIC HEALTH INSTITUTE   (Finland)

^c TAMPERE UNIVERSITY OF TECHNOLOGY   (Finland)

Author keywords

Bed days; GP; Hospital attendance; Hospital outpatient clinic; Referral; Specialist consultation

Indexed keywords

ARTICLE; CONSULTATION; CONTROLLED STUDY; GENERAL PRACTITIONER; HEALTH CENTER; HOSPITAL CARE; HOSPITALIZATION; HUMAN; MEDICAL SPECIALIST; OUTPATIENT DEPARTMENT; PATIENT REFERRAL; PHYSICIAN; PRIMARY HEALTH CARE;

FINLAND; HOSPITALS; HUMANS; NATIONAL HEALTH PROGRAMS; PRIMARY HEALTH CARE; REFERRAL AND CONSULTATION; SPECIALTIES, MEDICAL;

EID: 33746290998     PISSN: 01688510     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.healthpol.2005.10.008     Document Type: Article

References (27)

1. Martin R.M., Sterne J.A.C., Gunnell D., Ebrahim S., Smith G.D., and Frankel S. NHS waiting lists and evidence of national or local failure: analysis of health service data. British Medical Journal 326 (2003) 188-197
2. Brettingham M. NHS waiting list has fallen by 35% since 1998. News roundup. British Medical Journal 329 (2004) 1364
3. Martin S., and Smith P.C. Increase in resources should lead to reduced waiting times. Letters. British Medical Journal 326 (2003) 763
4. Edwards R.T., Boland A., Wilkinson C., Cohen D., and Williams J. Clinical and lay preferences for the explicit prioritisation of elective waiting lists: survey evidence from Wales. Health Policy 63 (2003) 229-237
5. Hanning M. Maximum waiting-time guarantee-an attempt to reduce waiting lists in Sweden. Health Policy 36 (1996) 17-35
6. Hanning M., and Spångberg U.W. Maximum waiting time-a threat to clinical freedom? Implementation of a policy to reduce waiting times. Health Policy 52 (2000) 15-32
7. Schoen C., and Doty M.M. Inequities in access to medical care in five countries: findings from the 2001 Commonwealth Fund International Health Policy Survey. Health Policy 67 (2004) 309-322
8. Rissanen P., and Häkkinen U. Priority-setting in Finnish healthcare. Health Policy 50 (1999) 143-153
9. Burström B. Increasing inequalities in health care utilisation across income groups in Sweden during the 1990s?. Health Policy 62 (2002) 117-129
10. Van Doorslaer E., and Jones A.M. Income-related inequality in health and health care in the European Union. Health Economics 13 (2004) 605-608
11. Atella V., Brindisi F., Deb P., and Rosati F.C. Determinants of access to physician services in Italy: a letent class seemingly unrelated probit approach. Health Economics 13 (2004) 657-668
12. Buchmueller T.C., Couffinhal A., Grignon M., and Perronnin M. Access to physician services: does supplemental insurance matter? Evidence from France. Health Economics 13 (2004) 669-687
13. Lewis M., Eskeland G., and Traa-Valerezo X. Primary health care in practice: is it effective. Health Policy 70 (2004) 303-325
14. Street A., and Duckett S. Are waiting lists inevitable?. Health Policy 36 (1996) 1-15
15. Gruen RL, Weeramanthri TS, Knight SE, Bailie RS. Specialist outreach clinics in primary care and rural hospital settings. The Cochrane Database of Systematic Reviews; 2003. Issue 4 (Art. No.: CD003798.pub2. DOI: 10.1002/14651858.CD003798.pub2).
16. Aro S, Liukko M, editors. VPK Väestövastuisen perusterveydenhuollon kokeilut. 1989-1992 (Population responsibility in primary health care: evaluation of a demonstration project in 1989-1992). English summary. Helsinki: National Research and Development Centre for Welfare and Health, Report 105; 1993.
17. Aromaa A, Linnala A, Maljanen T, Mattila K. Yksityislääkärit omalääkäreinä. Raportti Kansaneläkelaitoksen omalääkärikokeilusta (Private practitioners as family doctors. A report from the Social Insurance Institution's Family Doctor Project). English summary. Helsinki: The Social Insurance Institution, Finland, Studies in Social Security and Health 39; 1998.
18. Kansallinen projekti terveydenhuollon tulevaisuuden turvaamiseksi (Memorandum of the national project on safeguarding the future of health care services). English summary. Helsinki: The Ministry of Social Affairs and Health, Memorandum 3; 2002.
19. Valtioneuvoston periaatepäätös terveydenhuollon tulevaisuuden turvaamiseksi (A decision in principle by the Government to safeguard the future of health care). In Finnish. Helsinki: Brochures of the Ministry of Social Affairs and Health 6; 2002.
20. Ehrnstöm B.-O. Lähete yksityiselle on sairaalalähetteen varteenotettava vaihtoehto (A referral to private doctor is a relevant alternative to a referral to hospital). Suomalainen Lääkärilehti 49 (1994) 2787-2791 In Finnish
21. Virtanen P., and Rintanen H. Yksityislääkäreiltä ostetut konsultaatiot laajentavat terveyskeskuksen palvelukirjoa (Consultations bought from private physicians extend the selection of services in health centres). Suomalainen Lääkärilehti 56 (2001) 3857-3861 In Finnish
22. Marinker M., Wilkin D., and Metcalfe D.H. Referral to hospital: can we do better?. British Medical Journal 297 (1988) 461-464
23. Vohlonen I., Pekurinen M., and Helenius M. Yleislääkäri taloudellisena vaikuttajana (General practitioner as economic actor). Sosiaalinen aikakauskirja 2 (1987) 28-30 In Finnish
24. Linnala A., Aromaa A., and Mattila K. Specialists as consultants to GPs. Private sector services as an alternative way of organising consultant services in health care. Scandinavian Journal of Primary Health Care 19 (2001) 90-94
25. Linnala A., Aromaa A., and Mattila K. Improved availability of specialist consultations in primary health care: impact on physician visits. Scandinavian Journal of Primary Health Care 21 (2003) 83-88
26. SAS Institute Inc. SAS/STAT User's Guide, Version 6. fourth ed. vol. 2 (1989), Sas Institute Inc., Cary, NC
27. Linnala A., Aromaa A., and Mattila K. Yksityiset erikoislääkärit terveyskeskusomalääkärien konsultteina-mitä mieltä ovat lääkärit? (Private specialists as consultants to municipal health centres-the doctors' point of view). Sosiaalilääketieteellinen Aikakauslehti 39 (2002) 3-12 English abstract