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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-20243
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dc.contributor.authorHöglinger, Marc-
dc.contributor.authorKnöfler, Fabio-
dc.contributor.authorSchaumann-von Stosch, Rita-
dc.contributor.authorScholz-Odermatt, Stefan M.-
dc.contributor.authorEichler, Klaus-
dc.date.accessioned2020-07-13T08:17:03Z-
dc.date.available2020-07-13T08:17:03Z-
dc.date.issued2020-06-05-
dc.identifier.issn1471-2296de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/20243-
dc.description.abstractBackground: As in other countries, there is concern and some fragmentary evidence that GPs’ central role in the Swiss healthcare system as the primary provider of care might be changing or even be in decline. Our study gives a systematic account of GPs’ involvement in accident care from 2008 to 2016 and identifies changes in GPs’ involvement in this typical field of primary care: how frequently GPs were involved along the care pathway, to what extent they figured as initial care provider, and what their role in the care pathway was. Methods: Using a claims dataset from the largest Swiss accident insurer with two million accident cases, we constructed individual care pathways, i.e., when and from which providers patients received care. We calculated probabilities for the involvement of various care provider groups, for initial care provision, and for the role of GPs in patients’ care pathways, adjusted for injury and patient characteristics using multinomial regression. Results: In 2014, GPs were involved in 70% of all accident cases requiring outpatient care but no inpatient stay, and provided initial care in 56%. While involvement stayed at about the same level for accidents occurring from 2008 to 2014, the share of accidents where GPs provided initial care decreased by 4 percentage points. The share of cases where GPs acted as sole care provider decreased by 7 percentage points down to 44%. At the same time, accident cases involving care from an ED at any point in time increased from 38 to 46% and the share receiving initial care from an ED from 30 to 35 percentage points – apparently substituting for the declining involvement of GPs in initial care. GPs’ involvement in accident care is higher in rural compared to urban regions, among elderly compared to younger patients, and among Swiss compared to non-Swiss citizens. Conclusions: GPs play a key role in accident care with considerable variation depending on region and patient profile. From 2008 to 2014, there is a remarkable decline in GPs’ provision of initial care after an accident. This is a strong indication that the GPs’ role in the Swiss healthcare system is changing.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Family Practicede_CH
dc.rightshttp://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectAccident carede_CH
dc.subjectEmergency departmentde_CH
dc.subjectGeneral practitionerde_CH
dc.subjectHealth services researchde_CH
dc.subject.ddc362: Gesundheits- und Sozialdienstede_CH
dc.titleRecent trends and variations in general practitioners’ involvement in accident care in Switzerland : an analysis of claims datade_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
dc.identifier.doi10.1186/s12875-020-01170-5de_CH
dc.identifier.doi10.21256/zhaw-20243-
dc.identifier.pmid32503550de_CH
zhaw.funding.euNode_CH
zhaw.issue21de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.start99de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume2020de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.funding.zhawDie Rolle ärztlicher Grundversorger bei der Behandlung von Unfallpatientende_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Höglinger, M., Knöfler, F., Schaumann-von Stosch, R., Scholz-Odermatt, S. M., & Eichler, K. (2020). Recent trends and variations in general practitioners’ involvement in accident care in Switzerland : an analysis of claims data. BMC Family Practice, 2020(21), 99. https://doi.org/10.1186/s12875-020-01170-5
Höglinger, M. et al. (2020) ‘Recent trends and variations in general practitioners’ involvement in accident care in Switzerland : an analysis of claims data’, BMC Family Practice, 2020(21), p. 99. Available at: https://doi.org/10.1186/s12875-020-01170-5.
M. Höglinger, F. Knöfler, R. Schaumann-von Stosch, S. M. Scholz-Odermatt, and K. Eichler, “Recent trends and variations in general practitioners’ involvement in accident care in Switzerland : an analysis of claims data,” BMC Family Practice, vol. 2020, no. 21, p. 99, Jun. 2020, doi: 10.1186/s12875-020-01170-5.
HÖGLINGER, Marc, Fabio KNÖFLER, Rita SCHAUMANN-VON STOSCH, Stefan M. SCHOLZ-ODERMATT und Klaus EICHLER, 2020. Recent trends and variations in general practitioners’ involvement in accident care in Switzerland : an analysis of claims data. BMC Family Practice. 5 Juni 2020. Bd. 2020, Nr. 21, S. 99. DOI 10.1186/s12875-020-01170-5
Höglinger, Marc, Fabio Knöfler, Rita Schaumann-von Stosch, Stefan M. Scholz-Odermatt, and Klaus Eichler. 2020. “Recent Trends and Variations in General Practitioners’ Involvement in Accident Care in Switzerland : An Analysis of Claims Data.” BMC Family Practice 2020 (21): 99. https://doi.org/10.1186/s12875-020-01170-5.
Höglinger, Marc, et al. “Recent Trends and Variations in General Practitioners’ Involvement in Accident Care in Switzerland : An Analysis of Claims Data.” BMC Family Practice, vol. 2020, no. 21, June 2020, p. 99, https://doi.org/10.1186/s12875-020-01170-5.


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