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Are psychiatric emergency care patients in contact with their GP?
Ingrid H. Johansen, Tone Morken and Steinar Hunskår
In Norway
• Regular General Practitioners (rGPs)• GPs gatekeepers to all specialized health
care• Psychiatric diagnoses:
– rGPs: 10%– Casualty clinics: 4%
Research question
Do the same individual psychiatric patients utilize both the casualty clinic and the rGPs’
surgery?
Setting 24 000 individuals, one year
rGPs’ surgeries
rGPs’ surgeries
rGPs’ surgeries
rGPs’ surgeries
GP co-operative
Method
• Electronic medical records• Billing cards• Variables: Gender, age, municipality of
residence, first diagnosis, time, reimbursement codes
• Unique codes
Results
rGPs’ surgeries Casualty clinic
Unique patients 17108 7304
Traceable patients 98% 73%
Patients with P-diagnosis 1967 179
Percent of unique patients 11.5% 2.5%
Results cont. Casualty clinic rGPs’ surgeries
Casualty clinicn=179
Non-traceablen= 25
Contact rGPn=118
No contact rGPn=36
P-diagnoses givenn=84
Other diagnoses given n=34
Results cont. Casualty clinic rGPs’ surgeries
Casualty clinicn=179
Non-traceablen= 25
Contact rGPn=118
No contact rGPn=36
P-diagnoses givenn=84
Other diagnoses given n=34
Results cont. Casualty clinic rGPs’ surgeries
Casualty clinicn=179
Non-traceablen= 25
Contact rGPn=118
No contact rGPn=36
P-diagnoses givenn=84
Other diagnoses given n=34
Results cont. Casualty clinic rGPs’ surgeries
rGP surgeriesn=1967
Non-traceablen= 8
Contact casualty clinic n=536
No contact casualty clinicn=1423
P-diagnoses givenn=84
Other diagnoses given n=452
Results cont. Casualty clinic rGPs’ surgeries
rGP surgeriesn=1967
Non-traceablen= 8
Contact casualty clinic n=536
No contact casualty clinicn=1423
P-diagnoses givenn=84
Other diagnoses given n=452
Results cont. Casualty clinic rGPs’ surgeries
rGP surgeriesn=1967
Non-traceablen= 8
Contact casualty clinic n=536
No contact casualty clinicn=1423
P-diagnoses givenn=84
Other diagnoses given n=452
Conclusion
• Some of the psychiatric patients at the rGPs surgeries used the casualty clinic.
• Most psychiatric patients at the casualty clinic also used their GP.
