Programme no. 167-P
Quality of Primary Care Centers in Region Västra Götaland in Sweden
Cecilia Björkelund1, Shabnam Nejati*2, Nashmil Ariai3
1Allmänmedicin,medicin,Göteborg,Sweden, 2Allmänmedicin,medicin,Göteborg,Sweden, 3Allmänmedicin,medicin,Göteborg,Sweden
* = Presenting author
Objectives: To present data collected in the Swedish/Västra Götaland region to gain knowledge about continuity, availability, practice type, coordination and integration of services and reception of Swedish Primary Care Centers (PCCs). The study was approved by the medical ethics board.
Background: QUALICOPC (Quality and Costs of Primary care in Europe) is a multi-country study, started in 2010 until 2013. Data was collected in 31 European countries and in Australia, Israel and New Zealand. The aim of QUALICOPC was to analyze primary care structure and health care system performance in a European context, to get knowledge about the professional conduct of GPS and expectations and actions of their patients.
591 adult patients and 43 GPs were asked to fill in questionnaire about their appointment, 425 (72%) of the
patients [155(37%) male and 267(63%) female] and 43 GPs (51 % female, 49 % male GPs) answered the questionnaires. Of the patients, 43 were selected to answer the “values in primary care” questionnaire and 382 answered the “experience” questionnaires.
Of the 425 patients, 57% stated having a personal GP at the health center. 52% had chronic illness, of them 71% had a personal GP. Of the 382 patients who answered the experience questionnaires, 45 % said that the doctor listened carefully to them, 43% that “the doctor took sufficient time”, 72% that they did not wait too long when contacting the PCC by telephone, 74% confirmed knowledge how to get services at evening, night and weekend, 63% that the opening hours were not too restricted, and 57 % that it was easy to get the appointment for a doctor’s visit.
The GPs stated, that consultation time for a normal patient varied from 15 minutes to 30 minutes. Number of hours engaged patient time (consultations, home visits and telephone consultations) was between 5 to 40 hours per week.
Material/Methods: Data were collected from 43 primary care centers in region Västra Götaland in Sweden in 28 public PCCs and 15 private. Invitation to and information about the study was sent by email to 112 Primary care managers; 43 responded positively (38%). Ten patients from each PCC, and their doctor were surveyed during a normal working day by the field worker. The survey of patients consisted of two QUALICOPC questionnaires: one about patients’ experiences (to 9 out of 10 patients) and one about patients' values (to 1 out of 10 patients) A third questionnaire was distributed to the GP.
Conclusion: Most of the patients were satisfied with the visit to own doctor and they felt that their doctor had a good continuity and it was easy to get a visit to the GP. Patients with chronic disease had their own doctor in higher frequency than patients without. Most of the GPs spent most of their working time on direct patient care and face to face visits.
Points for discussion: -----