Patients’ Opinions on Family Doctor Accessibility in Estonia
PHD Ruth Kalda, PHD Kaja Põlluste1, PHD Heidi-Ingrid Maaroos, PHD Margus Lember2. Departments of Polyclinic and Family Medicine; Public Health 1; and Internal Medicine 2, Tartu University, Tartu, Estonia.
Aim. To investigate the accessibility of family doctors in Estonia from the patients’ point of view.
Methods. Face to face interviews using structured questionnaires were performed. A random sample of the Estonian residents, aged 15-74 years, was studied (n=999).
Results. The number of visits provided by family doctors has been continuously increasing since1998. Out of 999 respondents, 59 % visited the family doctor during the previous 12 months. The average number of visits per Estonian resident in one year is 2.48. Out of 999 interviewed persons, 72 % said that they had a possibility of contacting their family doctor by phone. The waiting time for an appointment was short in most cases. The family doctor admitted 60 % of the Respondents on the same day the patients had requested; 22 % of the patients were admitted within 1-2 days and 9% of the patients were admitted within 3-4 days. Only 9% of them had to wait more than 5 days. The current home visit fee in Estonia would have affected the decision of the home call of 58 % of people. There was a correlation between the acceptability of a visit fee and the people’s income.
Conclusion. The accessibility of family doctors can be considered good in Estonia.
Key words: family practice; health care reform; health services accessibility.
Kalda R, Põlluste K, Maaroos H-I, Lember M. Patients’ Opinions on Family Doctor Accessibility in Estonia. Shidnoevr. z. vnutr. simejnoi med. 2015;2:50-54.
|1. Maaroos HI. [Family medicine in Estonia. In: WHO/World Bank seminar. Education and research in public health and family medicine.] Tartu: Tartu University; 1994. 19-24 p. English|
|2. Lember M. [Family practice training in Estonia.] Fam Med. 1996; 28:282-286. English|
|3. Lember M. [A policy of introducing a new contract and funding system of general practice in Estonia.] Int J Health Plann Manage. 2002; 17:41-53. English
|4. Bolivar I. [Satisfaction with primary medical care: population determinants] [in Spanish]. Gac Sanit. 1999; 13:371-383. English
|5. Grumbach K, Selby JV, Damberg C, Bindman AB, Quesenberry C Jr, Truman A. [Resolving the gatekeeper conundrum: what are patient’s value in primary care and referrals to specialists.] JAMA. 1999; 282:261-266. English
|6. Grol R, Wensing M, Mainz J, Ferreira P, Hearnshaw H, Hjortdahl P. [Patients priorities with respect to general practice care: an international comparison. European Task Force on Patient Evaluations of General Practice (EUROPEP).] Fam Pract. 1999; 16:4-11. English
|7. Põlluste K, Kalda R, Lember M. [Primary health care system in transition: the patients experience.] Int J Qual Health Care. 2000; 12:503-509. English
|8. Estonian Ministry of Social Affairs. Available from: http:// www.sm.ee/eng/pages/index.html. Accessed: June 25, 2004.|
|9. Statistical Office of Estonia. Tallinn: Statistical Database [in Estonian]. Available from: http://pub.stat.ee/pxweb.2001/ Database/Sotsiaalelu/11Sotsiaalne_kaitse/04Sotsiaalkindlustu s/04Sotsiaalkindlustus.asp. Accessed: June 25, 2004.|
|10. Toon PD. [Using telephones in primary care.] BMJ. 2002; 324:1230-1231. English
|11. Brown A, Armstrong D. [Telephone consultations in general practice: an additional or alternative service?] Br J Gen Pract. 1995; 45:673-675. English|
|12. Kersnik J. [An evaluation of patient satisfaction with family practice care in Slovenia.] Int J Qual Health Care. 2000; 12:143-147. English
|13. Barr DA. [The effects of organizational structure on primary care outcomes under managed care.] Ann Intern Med. 1995; 122:353-359. English
|14. Hetlevik O, Hunskar S. [The length of the patient list, waiting lists, workload and job satisfaction among general practitioners in Bergen] [in Norwegian]. Tidsskr Nor Laegeforen. 2004; 124:813-815. English|
|15. Millar M. [Patient satisfaction with general practice in Ireland.] Ir Med J. 2001; 94:106, 108-109. English|
|16. Whitcomb ME, Cohen JJ. [The future of primary care medicine.] N Engl J Med. 2004; 351:710-720. English
|17. Showstack J, Lurie N, Larson EB, Rothman AA, Hassmiller S. [Primary care: the next renaissance.] Ann Intern Med. 2003; 138:268-272. English