Clinical categories of patients and encounter rates in primary health care -- a three-year study in defined populations

Carlsson, Lennart; Strender, Lars-Erik; Fridh, Gerd; Nilsson, Gunnar H.
January 2006
BMC Public Health;2006, Vol. 6 Issue 1, p35
Academic Journal
Background: The objective was to estimate the proportion of inhabitants with a diagnosis-registered encounter with a general practitioner, and to elucidate annual variations of clinical categories of patients in terms of their individual comorbidity. Methods: A three-year retrospective study of encounter data from electronic patient records, with an annual-based application of the Johns Hopkins Adjusted Clinical Groups (ACG) system. Data were retrieved from every patient with a diagnosis-registered encounter with a GP during the period 2001-2003 at 13 publicly managed primary health care centres in Blekinge county, southeastern Sweden, with about 150000 inhabitants. Main outcome measures: Proportions of inhabitants with a diagnosis-registered encounter, and ranges of the annual proportions of categories of patients according to ACGs. Results: The proportion of inhabitants with a diagnosis-registered encounter ranged from about 64.0% to 90.6% for the primary health care centres, and averaged about 76.5% for all inhabitants. In a three-year perspective the average range of categories of patients was about 0.4% on the county level, and about 0.9% on the primary health care centre level. About one third of the patients each year had a constellation of two or more types of morbidity. Conclusion: About three fourths of all inhabitants had one or more diagnosis-registered encounters with a general practitioner during the three-year period. The annual variation of categories of patients according to ACGs was small on both the county and the primary health care centre level. The ACG system seems useful for demonstrating and predicting various aspects of clinical categories of patients in Swedish primary health care.


Related Articles

  • The importance of comorbidity in analysing patient costs in Swedish primary care. Engström, Sven G.; Carlsson, Lennart; Östgren, Carl-Johan; Nilsson, Gunnar H.; Borgquist, Lars A. // BMC Public Health;2006, Vol. 6 Issue 1, p36 

    Background: The objective was to explore the usefulness of the morbidity risk adjustment system Adjusted Clinical Groups® (ACG), in comparison with age and gender, in explaining and estimating patient costs on an individual level in Swedish primary health care. Data were retrieved from two...

  • Co- and multimorbidity patterns in primary care based on episodes of care: results from the German CONTENT project. Laux, Gunter; Kuehlein, Thomas; Rosemann, Thomas; Szecsenyi, Joachim // BMC Health Services Research;2008, Vol. 8, Special section p1 

    Background: Due to technological progress and improvements in medical care and health policy the average age of patients in primary care is continuously growing. In equal measure, an increasing proportion of mostly elderly primary care patients presents with multiple coexisting medical...

  • Validity of registration of ICD codes and prescriptions in a research database in Swedish primary care: a cross-sectional study in Skaraborg primary care database. Hjerpe, Per; Merlo, Juan; Ohlsson, Henrik; Boström, Kristina Bengtsson; Lindblad, Ulf // BMC Medical Informatics & Decision Making;2010, Vol. 10 Issue 1, p23 

    Background: In recent years, several primary care databases recording information from computerized medical records have been established and used for quality assessment of medical care and research. However, to be useful for research purposes, the data generated routinely from every day...

  • Getting the Most Out of Your Doctor Visit.  // Washington Informer;Aug2013 Health Supplement, pH-4 

    The article offers information about the role of primary care provider (PCP) and things to be asked after visiting PCP which include discussing medical issues, health goals and medical records.

  • Absolute Cardiovascular Disease Risk and Shared Decision Making in Primary Care: A Randomized Controlled Trial. Krones, Tanja; Keller, Heidemarie; Sönnichsen, Andreas; Sadowski, Eva-Maria; Baum, Erika; Wegscheider, Karl; Rochon, Justine; Donner-Banzhoff, Norbert // Annals of Family Medicine;May/Jun2008, Vol. 6 Issue 3, p218 

    The article discusses the effect of promoting effective communication of absolute cardiovascular disease (CVD) risk and shared decision making in primary care. It stresses the result where intervention patients were significantly more satisfied with process and result. It notes that during...

  • Why do patients with cancer access out-of-hours primary care? Adam, Rosalind; Wassell, Patrick; Murchie, Peter // British Journal of General Practice;Feb2014, Vol. 64 Issue 619, pe99 

    Background Identifying why patients with cancer seek out-of-hours (OOH) primary medical care could highlight potential gaps in anticipatory cancer care. Aim To explore the reasons for contact and the range and prevalence of presenting symptoms in patients with established cancer who presented to...

  • Fresh furore over care record opt-outs.  // Pulse;4/8/2009, Vol. 69 Issue 12, p2 

    The article focuses on the Summary Care Record (SCR) in Great Britain. It states that patients who do not wish to be out from the SCR have nothing to do if their records will be deleted. It states that leaflets were distributed to several areas advising patients to consider having a care record...

  • Patient data leak prompts PCT to rethink IT policy.  // GP: General Practitioner;10/7/2005, p13 

    The article reports that Melton, Rutland and Harborough primary care trust (PCT) in Leicestershire, England, which accidentally sent out clinical data about 92 patients to local councilors and journalists, has published a report on the lessons it learned from the incident. An investigation by...

  • Development and pilot of an internationally standardized measure of cardiovascular risk management in European primary care. Ludt, Sabine; Campbell, Stephen M.; van Lieshout, Jan; Grol, Richard; Szecsenyi, Joachim; Wensing, Michel // BMC Health Services Research;2011, Vol. 11 Issue 1, p70 

    Background: Primary care can play an important role in providing cardiovascular risk management in patients with established Cardiovascular Diseases (CVD), patients with a known high risk of developing CVD, and potentially for individuals with a low risk of developing CVD, but who have unhealthy...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics