Huhtakangas, M., Nordstrom, T., Keinanen-Kiukaanniemi, S., Taanila, A., Tiirinki, H., Characterstics of middle-aged frequent attenders and their use of helthcare professionals ́ services within public primary, occupational and private healthcare : population-based cohort study in northern Finland, International Journal of Caring Sciences, 2019, vol. 12:1, p. 176-187
Characterstics of middle-aged frequent attenders and their use of helthcare professionals’ services within public primary, occupational and private healthcare : population-based cohort study in northern Finland
|Author:||Huhtakangas, Moona1; Nordstrom, Tanja2,3; Keinanen-Kiukaanniemi, Sirkka2,4,5;|
1Faculty of Medicine, Department of Nursing Science and Health Management, University of Oulu, Finland
2Center for Life Course Health Research, University of Oulu
3 Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Finland
4Medical Research Center Oulu, Oulu University Hospital and University of Oulu
5Unit of Primary Health Care, Oulu University Hospital and Health Center of Oulu, Finland
6Center for Life Course Health Research, University of Oulu, Finland
7Reform Unit. National Institute for Health and Welfare, Helsinki, Finland
|Online Access:||PDF Full Text (PDF, 0.1 MB)|
|Persistent link:|| http://urn.fi/urn:nbn:fi-fe2019081524243
Alexander Technological Educational Institute of Thessaloniki,
|Publish Date:|| 2019-08-15
Background: The characteristics of frequent attenders have been studied extensively; however, there is a scarce literature on the frequent attenders’ use of different healthcare sectors’ and professionals’ services.
Aims: To characterise middle-aged frequent attenders (FAs) of the public primary healthcare (PPHC), and to examine their use of healthcare professionals’ services across PPHC, occupational (OHC), and private healthcare (PHC).
Methodology: The data used is part of the Northern Finland Birth Cohort 1966’s 46-year follow-up study collected in 2012, during which 5484 cohort members answered to a questionnaire about use of healthcare services. A FA was defined as a patient who had made ≥ 8 PPHC visits within the previous year. Cross-tabulation, and binary logistic regression analysis were used.
Results: FAs (n=519, 9.5%) primarily used PPHC services, whereas their use of PHC and OHC services was much lower (45.5%, 9.5%, and 10.2% of all consultations, respectively). Within the PPHC, FAs used a wide variety of services provided by different healthcare professionals, particularly those offered by physiotherapists (198 FAs used 81.8% of services) and psychologists (85 FAs used 88.5% of services). Unemployment, drawing a disability pension, ex-smoking, poor or decent self-reported health, having ≥ 2 chronic health conditions (p≤0.001), having one chronic health condition (p≤0.01), female gender, dissatisfaction with the current life situation, abstinence from alcohol, heavy drinking, and BMI ≥ 30 (p<0.05) seemed to be associated with frequent attendance.
Conclusions: FAs have complex needs and seem to use primarily different healthcare professionals’ services within public primary healthcare, whereas their use of private and occupational healthcare services is noticeably lower. Frequent attenders’ service use includes a wide variety of healthcare providers’ services in addition to physicians’ services.
International journal of caring sciences
|Pages:||176 - 187|
|Type of Publication:||
A1 Journal article – refereed
|Field of Science:||
3141 Health care science
This work was supported by the Northern Finland Birth Cohort 1966 which received financial support from Oulu University Hospital, and the University of Oulu. Funding for this research was received from Thule Institute, University of Oulu.
© The Authors 2019. This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.