Utilization of primary care versus specialized care in children with and without chronic illness. A population-based study

Research output: Contribution to journalArticle

Abstract

Children's utilization of curative care was studied to analyse the division of responsibilities between undifferentiated primary care and specialized care. All chronically ill (n = 510), a control group (n = 287) and the total population 0-15 years of age (n = 6080) in a primary care district were studied using register data. Chronically ill children comprised 8.4% of the total child population and were registered for 1/10 of the primary health care visits, 1/3 of the specialized visits, 1/3 of the hospitalizations and 1/2 of the in-patient days of all children. The yearly ambulatory visits were 3.7/child in the chronically ill and 1.5/child in the control group, of which 1/3 and 2/3, respectively, were to primary care. Utilization of specialized care increased with disability. Chronically ill children visited primary care mainly for acute respiratory infections but seldom for allergic or other chronic conditions.

Details

Authors
  • Lena Westbom
  • Ragnhild Kornfält
Organisations
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Pediatrics

Keywords

  • primary health care, specialized care, hospitalization, chronic disease, allergy, ambulatory care
Original languageEnglish
Pages (from-to)534-541
JournalActa Paediatrica Scandinavica
Volume80
Issue number5
Publication statusPublished - 1991
Publication categoryResearch
Peer-reviewedYes