Continuity of GP care is associated with lower use of complementary and alternative medical providers: a population-based cross-sectional survey

• Published in: BMC health services research 2014-12, Vol.14 (1), p.629-629, Article 629
• Main Authors: Hansen, Anne Helen, Kristoffersen, Agnete E, Lian, Olaug S, Halvorsen, Peder A
• Format: Article
• Language: English
• Subjects: Adult; Age Factors; Aged; Aged, 80 and over; Allmennmedisin: 751; Ambulatory Care - statistics & numerical data; CAD-CAM systems industry; Clinical medical disciplines: 750; Complementary Therapies - statistics & numerical data; Continuity of care; Continuity of Patient Care - statistics & numerical data; Cross-Sectional Studies; Delivery of Health Care - statistics & numerical data; Economic aspects; Emergency Service, Hospital - statistics & numerical data; Family medicine; Family practice: 751; Female; General Practice - statistics & numerical data; Health care industry; Health planning; Health services; Hospitalization - statistics & numerical data; Humans; Klinisk medisinske fag: 750; Logistic Models; Male; Marriage; Medical disciplines: 700; Medical societies; Medicine; Medisinske Fag: 700; Middle Aged; Norway; Odds Ratio; Patient compliance; Patients; Population; Questionnaires; Self report; Sex Factors; Socioeconomic Factors; Surveys; Surveys and Questionnaires; VDP; Young Adult
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-014-0629-7

Continuity of general practitioner (GP) care is associated with reduced use of emergency departments, hospitalisation, and outpatient specialist services. Evidence about the relationship between continuity and use of complementary and alternative medical (CAM) providers has so far been lacking. The aim of this study was to test the association between continuity of GP care and the use of CAM providers. We used questionnaire data from the sixth Tromsø Study, conducted in 2007-8. Using descriptive statistical methods, we estimated the proportion using a CAM provider among adults (30-87 years) who had visited a GP during the last 12 months. By means of logistic regressions, we studied the association between the duration of the GP-patient relationship and the use of CAM providers. Analyses were adjusted for the frequency of GP visits, gender, age, marital status, income, education, and self-rated health and other proxies for health care needs. Of 9,743 eligible GP users, 85.1% had seen the same GP for more than two years, 83.7% among women and 86.9% among men. The probability of visiting a CAM provider was lower among those with a GP relationship of more than 2 years compared to those with a shorter GP relationship (odds ratio [OR] 0.81, 95% confidence interval [CI] 0.68-0.96). Other factors associated with CAM use were female gender, poor health, low age and high income. There was no association with education. Continuity of GP care as measured by the duration of the GP-patient relationship was associated with lower use of CAM providers. Together with previous studies this suggests that continuity of GP care may contribute to health care delivery from fewer providers.