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Differences between recorded diagnoses of patients of an emergency department and office-hours primary care doctors: a register-based study in a Finnish town

Authors
  • Lehto, Mika1, 2
  • Mustonen, Katri2
  • Raina, Marko1
  • Kauppila, Timo2, 3, 4
  • 1 City of Vantaa, Finland , (Finland)
  • 2 University of Helsinki, Finland , (Finland)
  • 3 Head and Neck Center, University of Helsinki, Finland , (Finland)
  • 4 University of Tampere, Finland , (Finland)
Type
Published Article
Journal
International Journal of Circumpolar Health
Publisher
Informa UK (Taylor & Francis)
Publication Date
Jun 02, 2021
Volume
80
Issue
1
Identifiers
DOI: 10.1080/22423982.2021.1935593
PMID: 34077332
PMCID: PMC8174484
Source
PubMed Central
Keywords
Disciplines
  • Original Research Article
License
Unknown

Abstract

To determine the extent to which it is possible to provide continuity of primary care for those who visit Emergency Departments (EDs) we studied how recorded diagnoses in primary care differ, depending on whether the patient is met in an ED or a primary care office-hours practice. In the present, 12-year follow-up study a report generator of the Electronic Health Record-system provided monthly figures for the number of different recorded diagnoses using the International Classification of Diagnoses (10thedition, ICD-10) and the total number of ED doctors and office-hour visits to General Practitioners (GPs). The 20 most common diagnoses covered 48.1% of the visits with recorded diagnoses to the office hour GPs and 45.9% of the visits to the doctors of the ED. Of these 20 diagnoses, 10 were common in both systems. These 10 diagnoses constituted about 30% of the diagnoses given by ED doctors. Furthermore, five out of the six most common diagnoses were the same in the ED and office-hours practices. The doctors in EDs and office-hour GPs treat quite similar patient material. This may provide organisational ways to reorganise the work of primary care and to guarantee continuity of care for those who may benefit from it.

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