关键词: Data pooling Healthcare utilisation Medication use Pharmacoepidemiology Scandinavia

来  源:   DOI:10.1016/j.annepidem.2024.07.004

Abstract:
OBJECTIVE: The healthcare systems in Scandinavia inform nationwide registers and the Scandinavian populations are increasingly combined in research. We aimed to compare Norway (NO), Sweden (SE), and Denmark (DK) regarding sociodemographic factors and healthcare.
METHODS: In this cross-sectional study, we analyzed aggregated data from the nationwide Scandinavian registers. We calculated country-specific statistics on sociodemographic factors and healthcare use (general practitioner visits, admissions to somatic hospitals, and use of medicines).
RESULTS: In 2018, population were 5295,619 (NO), 10,120,242 (SE), and 5781,190 (DK). The populations were comparable regarding sex, age, education, and income distribution. Overall, medication use was comparable, while there was more variation in hospital admissions and general practitioner visits. For example, per 1000 inhabitants, 703 (NO), 665 (SE), and 711 (DK) individuals redeemed a prescription, whereas there were 215 (NO), 134 (SE), and 228 (DK) somatic hospital admissions per 1000 inhabitants. General practitioner contacts per 1000 inhabitants were 7082 in DK and 5773 in NO (-data from SE).
CONCLUSIONS: The Scandinavian countries are comparable regarding aggregate-level sociodemographic factors and medication use. Variations are noted in healthcare utilisation as measured by visits to general practitioners and admissions to hospitals. This variation should be considered when comparing data from the Scandinavian countries.
摘要:
目标:斯堪的纳维亚半岛的医疗保健系统通知全国登记册和斯堪的纳维亚人口越来越多的结合在研究中。我们的目的是比较挪威(NO),瑞典(SE),和丹麦(DK)关于社会人口统计学因素和医疗保健。
方法:在这项横断面研究中,我们分析了来自全国斯堪的纳维亚国家登记册的汇总数据.我们计算了有关社会人口统计学因素和医疗保健使用的特定国家统计数据(全科医生就诊,躯体医院的入院,和使用药物)。
结果:2018年,人口为5,295,619(NO),10,120,242(SE),和5,781,190(DK)。人口在性别方面具有可比性,年龄,教育,和收入分配。总的来说,药物使用相当,而住院和全科医生就诊的差异更大。例如,每1000名居民,703(NO),665(SE),和711(DK)个人兑换处方,而有215(NO),134(SE),和228(DK)躯体医院每1000名居民。每1000名居民的全科医生接触率为DK7082人,NO为5773人(-数据来自SE)。
结论:斯堪的纳维亚国家在总体社会人口统计学因素和药物使用方面具有可比性。通过访问全科医生和入院来衡量,医疗保健利用率会发生变化。在比较斯堪的纳维亚国家的数据时,应考虑这种差异。
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