Characteristics of individuals not visiting their primary care provider

被引:0
作者
Asaf Bitton
Sagar B Dugani
机构
[1] Brigham and Women’s Hospital,Division of General Medicine and Primary Care
[2] Harvard Medical School,Department of Health Care Policy and Center for Primary Care
[3] Brigham and Women’s Hospital and Harvard School of Public Health,Ariadne Labs, a Joint Center for Health Systems Innovation
[4] Brigham and Women’s Hospital,Department of Medicine
来源
Israel Journal of Health Policy Research | / 3卷
关键词
Primary Care; Primary Care Service; Primary Care Visit; Patient Centered Medical Home; Primary Care System;
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学科分类号
摘要
The observational study by Rosen and colleagues described the proportion and characteristics of individuals who do not visit their primary care physician regularly. Overall, they identify a very low rate of non-attendance, high rates of visit frequency, and describe predictors of non-attendance. In this study of 421,012 individuals, only 6,217 (or, 1.5% of the study population) did not visit their primary care physician over the four-year study period. Multivariate analysis showed that the strongest predictors of non-attendance were being male, being a new immigrant, and the presence of fewer chronic diseases. This study raises important questions about why patients seem to be so engaged with primary care in Israel, whether this engagement explains part of the Israeli health system’s success, and ways to best structure primary care services in the future.
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