The match between need and use of health services among healthy under-fives in Denmark: A register-based national cohort study

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The match between need and use of health services among healthy under-fives in Denmark : A register-based national cohort study. / Jensen, Andreas; Andersen, Per Kragh; Andersen, John Sahl; Greisen, Gorm; Stensballe, Lone Graff.

I: PLoS ONE, Bind 15, Nr. 4, e0231776, 2020.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Jensen, A, Andersen, PK, Andersen, JS, Greisen, G & Stensballe, LG 2020, 'The match between need and use of health services among healthy under-fives in Denmark: A register-based national cohort study', PLoS ONE, bind 15, nr. 4, e0231776. https://doi.org/10.1371/journal.pone.0231776

APA

Jensen, A., Andersen, P. K., Andersen, J. S., Greisen, G., & Stensballe, L. G. (2020). The match between need and use of health services among healthy under-fives in Denmark: A register-based national cohort study. PLoS ONE, 15(4), [e0231776]. https://doi.org/10.1371/journal.pone.0231776

Vancouver

Jensen A, Andersen PK, Andersen JS, Greisen G, Stensballe LG. The match between need and use of health services among healthy under-fives in Denmark: A register-based national cohort study. PLoS ONE. 2020;15(4). e0231776. https://doi.org/10.1371/journal.pone.0231776

Author

Jensen, Andreas ; Andersen, Per Kragh ; Andersen, John Sahl ; Greisen, Gorm ; Stensballe, Lone Graff. / The match between need and use of health services among healthy under-fives in Denmark : A register-based national cohort study. I: PLoS ONE. 2020 ; Bind 15, Nr. 4.

Bibtex

@article{9e02df48c15a4de5b4a56a84f5ac6e2f,
title = "The match between need and use of health services among healthy under-fives in Denmark: A register-based national cohort study",
abstract = "Objectives To study a potential positive association (referred to as 'a match') between the need for health service (expressed by a mortality risk score) and observed health service utilisation among healthy Danish under-fives. Further, municipal differences in the match were examined to motivate focused comparisons between the organisation of regional health services. Design Register-based national cohort study. Participants The population of 1,246,599 Danish children born 1997-2016 who survived until date of first discharge to the home after birth without a diagnosis of severe chronic disease. Main outcome measures Hazard ratios (HR) for a doubling of the mortality rate were calculated for the following health services: Total contacts, inpatient contacts (admission > 1 day), outpatient contacts, general practitioner contacts, specialist contacts, medication use, and vaccinations. Results The use of total contacts, inpatient contacts (> 1 day) and general practitioner contacts as well as medication matched with the mortality risk score, HRs between 1.027 (1.026 to 1.028) and 1.111 (1.108 to 1.113), whereas outpatient and specialist contacts as well as vaccinations did not, HRs between 0.913 (0.912 to 0.915) and 0.991 (0.991 to 0.991). There were some remarkable differences among the 98 Danish municipalities. Conclusions We found some match between need and use for total contacts, inpatient contacts (> 1 day), contacts with general practitioner, and medication use although the associations were relatively weak. For outpatient and specialist contacts, the mismatch may be related to services not addressing potentially fatal disease whereas for vaccination there was a small mismatch. Our results indicate local discrepancies in diagnosis, and a low adjusted utilisation of hospital admissions in Aarhus compared to the other three major cities in Denmark suggests that a comparison of the organisation of services could be useful.",
author = "Andreas Jensen and Andersen, {Per Kragh} and Andersen, {John Sahl} and Gorm Greisen and Stensballe, {Lone Graff}",
year = "2020",
doi = "10.1371/journal.pone.0231776",
language = "English",
volume = "15",
journal = "PLoS ONE",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "4",

}

RIS

TY - JOUR

T1 - The match between need and use of health services among healthy under-fives in Denmark

T2 - A register-based national cohort study

AU - Jensen, Andreas

AU - Andersen, Per Kragh

AU - Andersen, John Sahl

AU - Greisen, Gorm

AU - Stensballe, Lone Graff

PY - 2020

Y1 - 2020

N2 - Objectives To study a potential positive association (referred to as 'a match') between the need for health service (expressed by a mortality risk score) and observed health service utilisation among healthy Danish under-fives. Further, municipal differences in the match were examined to motivate focused comparisons between the organisation of regional health services. Design Register-based national cohort study. Participants The population of 1,246,599 Danish children born 1997-2016 who survived until date of first discharge to the home after birth without a diagnosis of severe chronic disease. Main outcome measures Hazard ratios (HR) for a doubling of the mortality rate were calculated for the following health services: Total contacts, inpatient contacts (admission > 1 day), outpatient contacts, general practitioner contacts, specialist contacts, medication use, and vaccinations. Results The use of total contacts, inpatient contacts (> 1 day) and general practitioner contacts as well as medication matched with the mortality risk score, HRs between 1.027 (1.026 to 1.028) and 1.111 (1.108 to 1.113), whereas outpatient and specialist contacts as well as vaccinations did not, HRs between 0.913 (0.912 to 0.915) and 0.991 (0.991 to 0.991). There were some remarkable differences among the 98 Danish municipalities. Conclusions We found some match between need and use for total contacts, inpatient contacts (> 1 day), contacts with general practitioner, and medication use although the associations were relatively weak. For outpatient and specialist contacts, the mismatch may be related to services not addressing potentially fatal disease whereas for vaccination there was a small mismatch. Our results indicate local discrepancies in diagnosis, and a low adjusted utilisation of hospital admissions in Aarhus compared to the other three major cities in Denmark suggests that a comparison of the organisation of services could be useful.

AB - Objectives To study a potential positive association (referred to as 'a match') between the need for health service (expressed by a mortality risk score) and observed health service utilisation among healthy Danish under-fives. Further, municipal differences in the match were examined to motivate focused comparisons between the organisation of regional health services. Design Register-based national cohort study. Participants The population of 1,246,599 Danish children born 1997-2016 who survived until date of first discharge to the home after birth without a diagnosis of severe chronic disease. Main outcome measures Hazard ratios (HR) for a doubling of the mortality rate were calculated for the following health services: Total contacts, inpatient contacts (admission > 1 day), outpatient contacts, general practitioner contacts, specialist contacts, medication use, and vaccinations. Results The use of total contacts, inpatient contacts (> 1 day) and general practitioner contacts as well as medication matched with the mortality risk score, HRs between 1.027 (1.026 to 1.028) and 1.111 (1.108 to 1.113), whereas outpatient and specialist contacts as well as vaccinations did not, HRs between 0.913 (0.912 to 0.915) and 0.991 (0.991 to 0.991). There were some remarkable differences among the 98 Danish municipalities. Conclusions We found some match between need and use for total contacts, inpatient contacts (> 1 day), contacts with general practitioner, and medication use although the associations were relatively weak. For outpatient and specialist contacts, the mismatch may be related to services not addressing potentially fatal disease whereas for vaccination there was a small mismatch. Our results indicate local discrepancies in diagnosis, and a low adjusted utilisation of hospital admissions in Aarhus compared to the other three major cities in Denmark suggests that a comparison of the organisation of services could be useful.

U2 - 10.1371/journal.pone.0231776

DO - 10.1371/journal.pone.0231776

M3 - Journal article

C2 - 32298365

AN - SCOPUS:85083370422

VL - 15

JO - PLoS ONE

JF - PLoS ONE

SN - 1932-6203

IS - 4

M1 - e0231776

ER -

ID: 242707844