Sämre läkarkontinuitet efter vårdvalet för patienter med diabetes - En jämförelse före och efter införande av hälsoval Skåne i Malmö.

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Continuity of care is one of the core values of family medicine and both patients and doctors consider it a vital aspect of the care of patients with chronic diseases. In 2009 a national health care reform was implemented in primary care in Sweden. This study compared the longitudinal continuity of care in primary care before and after this reform in 7121 adult diabetes patients living in Malmö. Our findings reveal that continuity of care decreased substantially after the reform. The decrease was independent of sex, type of diabetes, age and income. Both before and after the reform men had a significantly higher rate of continuity of care than women. The number of visits to GPs by diabetes patients decreased slightly each investigated year. This possibly illustrates the crowding out of diabetes patients, as earlier research showed an increased overall number of GP visits for the whole population in Skåne (the county where Malmö is situated) after the reform.


External organisations
  • Region Skåne
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Health Care Service and Management, Health Policy and Services and Health Economy
Original languageSwedish
Publication statusPublished - 2015 Jun 16
Publication categoryResearch

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