Post by account_disabled on Feb 20, 2024 4:24:46 GMT -5
Continuity in the patient/doctor relationship can reduce mortality by up to 30% according to a study carried out in Norway based on its public health system. The strength of health systems in Europe has passed its particular 'stress test' during the pandemic , leading governments to focus on public spending on health. However, the growing trend in some countries, including Spain, to reduce public services and increase agreements with private entities is in practice leading to the dismantling of structures such as primary care , considered the gateway to the National Health System. Health (SNS). Desecrating and destroying primary care The importance of primary care in the entire health system is the object of the observational study carried out by Norwegian researchers from the University of Bergen and which has been published in the scientific journal 'British Journal of General Practice' (BJGP). For this purpose, the Norwegian public health registry has been taken as a reference, which covers 4.5 million people, covering a long period of time with more than 800,000 patients who have had the same family doctor assigned to them for more than 15 years.
Doctor-pacient relationship The work shows that quality primary care reduces visits to the emergency room, hospital admissions with acute or serious conditions and even mortality by 25-30%. The main variable that this study takes as a reference is the duration of the relationship between the family doctor and the patient. The authors highlight that “continuity, generally Australia Phone Number considered a quality aspect of primary care, is under pressure in Norway and elsewhere” and “has been declining in recent years.” The table shows the constant and significant trend of less use of emergency services or home visits, acute hospital admissions and mortality , as the relationship time (continuity) between the general practitioner and his patient lengthens, starting from 1 year. duration, up to more than 15 years. Norwegian primary care study Associations between continuity measured in years with the same family doctor and the probabilities of use of emergency services, acute hospital admissions and mortality during 2018. (Table: BJGP) “Continuity of care with a primary care physician is associated with lower mortality rates, fewer hospital admissions, and less use of emergency departments .” When continuity exceeds 15 years , the probability of occurrence is reduced by between 25 and 30%,” state the authors of the study. Doctor/patient follow-up is, therefore, a fundamental value in primary care.
Researchers base this continuity in the relationship on three fundamental aspects: 1st Information continuity: the doctor must have adequate access to all relevant information about the patient. 2nd Longitudinal continuity: means that it transcends multiple episodes of illness. 3rd Interpersonal continuity: refers to a relationship of trust between the patient and the doctor. To save the critical situation of primary care The 'guardian' of health In this way, the family doctor acts as a kind of 'guardian' by personally assuming the patient's medical needs , a practice that has been common in the Spanish case, where family doctors were in charge of referring specialized medical care. Maintaining this permanent relationship over time between the family doctor and the patient is also key to reducing public health spending , point out the authors of the study. As that relationship becomes more stable and long-term, the doctor's attention focuses on the patient and not on the disease itself. "This is the essence of personal medical care ," described - the study notes - by the Canadian doctor, William Osler, whom some recognize as the father of modern medicine, who stated that 'it is much more important to know what type of patient has a disease, what kind of disease does a patient have? The study also values the job stability of family doctors and that this is “a priority” for health authorities.
Doctor-pacient relationship The work shows that quality primary care reduces visits to the emergency room, hospital admissions with acute or serious conditions and even mortality by 25-30%. The main variable that this study takes as a reference is the duration of the relationship between the family doctor and the patient. The authors highlight that “continuity, generally Australia Phone Number considered a quality aspect of primary care, is under pressure in Norway and elsewhere” and “has been declining in recent years.” The table shows the constant and significant trend of less use of emergency services or home visits, acute hospital admissions and mortality , as the relationship time (continuity) between the general practitioner and his patient lengthens, starting from 1 year. duration, up to more than 15 years. Norwegian primary care study Associations between continuity measured in years with the same family doctor and the probabilities of use of emergency services, acute hospital admissions and mortality during 2018. (Table: BJGP) “Continuity of care with a primary care physician is associated with lower mortality rates, fewer hospital admissions, and less use of emergency departments .” When continuity exceeds 15 years , the probability of occurrence is reduced by between 25 and 30%,” state the authors of the study. Doctor/patient follow-up is, therefore, a fundamental value in primary care.
Researchers base this continuity in the relationship on three fundamental aspects: 1st Information continuity: the doctor must have adequate access to all relevant information about the patient. 2nd Longitudinal continuity: means that it transcends multiple episodes of illness. 3rd Interpersonal continuity: refers to a relationship of trust between the patient and the doctor. To save the critical situation of primary care The 'guardian' of health In this way, the family doctor acts as a kind of 'guardian' by personally assuming the patient's medical needs , a practice that has been common in the Spanish case, where family doctors were in charge of referring specialized medical care. Maintaining this permanent relationship over time between the family doctor and the patient is also key to reducing public health spending , point out the authors of the study. As that relationship becomes more stable and long-term, the doctor's attention focuses on the patient and not on the disease itself. "This is the essence of personal medical care ," described - the study notes - by the Canadian doctor, William Osler, whom some recognize as the father of modern medicine, who stated that 'it is much more important to know what type of patient has a disease, what kind of disease does a patient have? The study also values the job stability of family doctors and that this is “a priority” for health authorities.