Tenkink, M. (Marit) (2017) Consequenties transitie jeugdzorg in huisartsenpraktijk nog onduidelijk Een retrospectieve cohortstudie naar het aantal consulten/visites en verwijzingen in de periode 2010-2015 in de huisartsenpraktijk. thesis, Medicine.
Full text available on request.Abstract
Introduction: On January 1, 2015, the transition of the youth healthcare took place, which expanded the responsibility of municipalities regarding to youth healthcare. The purpose of this transition was to reduce the high pressure on specialized healthcare and to change the compartmentalized way of working in youth healthcare. However, it is not known what the consequences of the transition of the youth healthcare are in the care provided by the general practitioner (GP). These consequences could be important. The general practitioner may be able to get more children with psychosocial problems. In this case the GP would need more time and knowledge to identify and treat these psychosocial problems. Therefore, this research aims to determine the consequences of the transition of the youth healthcare in the general practice regarding the number of consultations/visits and the number of referrals of children between 0-17 years with psychosocial problems in the GP practice. Method: Data was collected from a longitudinal database of three GP group practices in the northeastern part of the Netherlands. In this database, ICPC codes are registered to indicate for what reason the patient visited the general practitioner. Data with an ICPC code P or Z (psychological or social problems) on consultations/visits and referrals of children between 0-17 years was collected from this database. Missing data was supplemented by the means of file research in the GP practices. Univariate and multivariate analyses were conducted to determine the difference in the number of consultations/visits and the number of references to a psychosocial problem between the period 2010-2014 and the year 2015. A distinction was made between consultations/visits for light and heavy problems. Results: In 2015 there are 60 consultations/visits per 1000 personyears because of psychosocial problems. This is less than in the period 2010-2014 with an average of 67 consultations/visits per 1000 personyears. This applies to both light and heavy psychosocial problems. There is a fluctuating course in the number of consultations/visits during the period 2010-2015. The number of referrals in 2015 is 15 referrals per 1000 personyears. This is less than in the period 2010-2014 with an average of 26 referrals per 1000 personyears. Again, there is a fluctuating course in the number of referrals in the period 2010-2015. Conclusion: Based on this research, it can be said that the transition of youth healthcare did not lead to more consultations/visits in 2015 in the GP practice. There are less referrals in 2015 than in the period 2010-2014. Due to possible registration artifacts in the registration of referrals, it is the question whether the transition of youth healthcare is the explanation for this.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Eerste begeleider: and Verhaak, Prof. Dr. P.F.M. and Tweede begeleider: and Groenhof, Drs. F. and Derde begeleider: and Berger, Prof. M.Y. and Huisartsgeneeskunde en Ouderengeneeskunde, UMCG |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:42 |
| Last Modified: | 25 Jun 2020 10:42 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/400 |
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