Bibliographic Details
| Title: |
The in- and outpatient health care use of patients with COPD before and after initiation of home care: a registry study from Norway. |
| Authors: |
Moger, Tron Anders1 (AUTHOR) tronmo@medisin.uio.no, Holte, Jon Helgheim1 (AUTHOR), Amundsen, Olav2 (AUTHOR), Haavaag, Silje Bjørnsen3 (AUTHOR), Døhl, Øystein4,5 (AUTHOR), Bragstad, Line Kildal3,6 (AUTHOR), Hellesø, Ragnhild3 (AUTHOR), Vøllestad, Nina Køpke2 (AUTHOR), Tjerbo, Trond1 (AUTHOR) |
| Source: |
Scandinavian Journal of Primary Health Care. Mar2025, Vol. 43 Issue 1, p100-110. 11p. |
| Subject Terms: |
*OBSTRUCTIVE lung disease treatment, *HOME care services, *MEDICAL care use, *HEALTH services accessibility, *RESEARCH funding, *OUTPATIENT medical care, *PRIMARY health care, *HOSPITALS, *PRE-tests & post-tests, *NURSING care facilities, *OBSTRUCTIVE lung diseases, *MEDICAL needs assessment |
| Geographic Terms: |
NORWAY |
| Abstract: |
Objective: Chronic obstructive pulmonary disease (COPD) is a common condition associated with age, multimorbidity and frequently involves the use of health care across levels. Understanding the factors associated with the initiation of long-term care is important when planning the future need for services. We describe healthcare use before and after the reception of any home care. We further studied the associations between healthcare use and first registered home care service and from first registered home care service to nursing home admission or death. Design and subjects: Patients residing in Oslo or Trondheim at the time of first contact with a COPD primary diagnosis, 2009–2018. Patient data were linked across national and municipal registries, covering healthcare and sociodemographics. The sample consisted of 16,738 individuals. Results: There was a marked increase in inpatient and outpatient hospital contacts in the years prior to and after the reception of any home care. Adjusted for comorbidities and sociodemographics, high numbers of GP consultations, and inpatient and outpatient hospital contacts for respiratory diagnoses were associated with a significantly higher likelihood of receiving home care the next year (hazard odds ratios > 1.3). Following the reception of home care, the type of home care service received (e.g. home nursing or short-term rehabilitation/treatment) was more important than outpatient services in predicting next-year nursing home admission or death. Conclusion: Including data on prior outpatient care when predicting future need for home care is beneficial. A high frequency (top 10%) of yearly GP, in- or outpatient hospital contacts can imply that the patient may be in need of home care in the near future. [ABSTRACT FROM AUTHOR] |
|
Copyright of Scandinavian Journal of Primary Health Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Academic Search Complete |
|
Full text is not displayed to guests. |
Login for full access.
|
