| Publikationstyp: | Konferenz: Poster |
| Art der Begutachtung: | Peer review (Abstract) |
| Titel: | The role of general practitioners in trauma care : variation by injury type, region, patient profile, and over time |
| Autor/-in: | Höglinger, Marc Knöfler, Fabio Schaumann-von Stosch, Rita Scholz, Stefan Eichler, Klaus |
| DOI: | 10.1016/j.jval.2018.09.904 |
| Erschienen in: | Value in Health |
| Band(Heft): | 21 |
| Heft: | Supplement 3 |
| Angaben zur Konferenz: | ISPOR 21th Annual European Congress, Barcelona, Spain, 10-14 November 2018 |
| Erscheinungsdatum: | 2018 |
| Sprache: | Englisch |
| Fachgebiet (DDC): | 362: Gesundheits- und Sozialdienste |
| Zusammenfassung: | Objectives: General practitioners (GPs) are essential within the Swiss healthcare system. In our study, we analyze the role of GPs in trauma care: to what extent and for what types of injury GPs act as initial point of care and whether they act as sole care providers or refer patients. We examine differences depending on injury type, region, patient age and citizenship, considering developments over time. Methods: Using a claims dataset from the largest Swiss accident insurer with N¼2.2 million injury cases between 2008 and 2014, we construct individual treatment trajectories, i.e., when and from which provider they received care. We estimate conditional probabilities for different trajectories, adjusting for injury and patient characteristics using multinomial regression models. Results: Overall, GPs acted as initial point of care in 55% of injury cases with substantial differences between injury types (e.g. 66% of knee contusions; 37% of wrist fractures). GPs played a role in follow-up care in 15%, and were not involved in 30% of cases. In 42% of cases, GPs were sole care providers. GPs referred patients to medical specialists in 4% or to hospitals in 9% of cases. GPs’ involvement is higher in rural regions, among elderly patients, and among Swiss citizens than noncitizens. From 2008 to 2014, there was a steady decline from 58% to 52% of injury cases where GPs acted as first point of care, and a decline from 44% to 39% where GPs acted as exclusive care provider. Conclusions: Our findings show that GPs play a key role in trauma care, but there is considerable variation depending on region, patient profile, and injury type. The general decline in GP involvement in trauma care may be an indication that their role in Swiss healthcare is changing, which may have implications for their continuous education and training. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/15296 |
| Volltext Version: | Publizierte Version |
| Lizenz (gemäss Verlagsvertrag): | Lizenz gemäss Verlagsvertrag |
| Departement: | School of Management and Law |
| Organisationseinheit: | Winterthurer Institut für Gesundheitsökonomie (WIG) |
| Publiziert im Rahmen des ZHAW-Projekts: | Die Rolle ärztlicher Grundversorger bei der Behandlung von Unfallpatienten |
| Enthalten in den Sammlungen: | Publikationen School of Management and Law |
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Höglinger, M., Knöfler, F., Schaumann-von Stosch, R., Scholz, S., & Eichler, K. (2018). The role of general practitioners in trauma care : variation by injury type, region, patient profile, and over time [Conference poster]. Value in Health, 21(Supplement 3). https://doi.org/10.1016/j.jval.2018.09.904
Höglinger, M. et al. (2018) ‘The role of general practitioners in trauma care : variation by injury type, region, patient profile, and over time’, in Value in Health. Available at: https://doi.org/10.1016/j.jval.2018.09.904.
M. Höglinger, F. Knöfler, R. Schaumann-von Stosch, S. Scholz, and K. Eichler, “The role of general practitioners in trauma care : variation by injury type, region, patient profile, and over time,” in Value in Health, 2018, vol. 21, no. Supplement 3. doi: 10.1016/j.jval.2018.09.904.
HÖGLINGER, Marc, Fabio KNÖFLER, Rita SCHAUMANN-VON STOSCH, Stefan SCHOLZ und Klaus EICHLER, 2018. The role of general practitioners in trauma care : variation by injury type, region, patient profile, and over time. In: Value in Health. Conference poster. 2018
Höglinger, Marc, Fabio Knöfler, Rita Schaumann-von Stosch, Stefan Scholz, and Klaus Eichler. 2018. “The Role of General Practitioners in Trauma Care : Variation by Injury Type, Region, Patient Profile, and over Time.” Conference poster. In Value in Health. Vol. 21. https://doi.org/10.1016/j.jval.2018.09.904.
Höglinger, Marc, et al. “The Role of General Practitioners in Trauma Care : Variation by Injury Type, Region, Patient Profile, and over Time.” Value in Health, vol. 21, no. Supplement 3, 2018, https://doi.org/10.1016/j.jval.2018.09.904.
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