Use of private gynaecologist does not relate to better prevention outcomes - an ecological analysis from Finland

BMC Health Services Research
E HemminkiAhti Anttila

Abstract

Control of reproduction and prevention of reproductive health problems are important reasons for women to use health services, but the proper organisational level of service provision is not clear. The purpose of this study was to investigate whether visits to private gynaecologists correlate with better health outcomes and worse participation in organised screening for cancer programs. This is an ecological analysis using municipalities and groups of women at 5-year age intervals within municipalities as study units. First, the Finnish municipalities (n = 452) were classified into three groups by the age-adjusted level of use of private gynaecologists. Secondly, each age group within municipalities was classified into tertiles by the level of private gynaecologist use. The outcomes were participation in cervical and organised breast cancer screening for cancer programmes, stage of gynaecological and breast cancers at diagnosis, and abortion rates and ratios. All data were obtained from national registers by groups at 5-year age intervals and by municipality. Raw and adjusted (age groups, and in some analyses, municipality social class index) odds ratios, total and by urbanity, were calculated. The proportions of women particip...Continue Reading

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Citations

Nov 11, 2009·Health Research Policy and Systems·Liina-Kaisa Tynkkynen, Juhani Lehto
Mar 25, 2016·British Journal of Cancer·Sirpa HeinävaaraAhti Anttila
Jun 21, 2008·International Journal of Cancer. Journal International Du Cancer·Maarit LeinonenPekka Nieminen
Nov 9, 2007·Orvosi hetilap·Imre BonczTamás Székely
Jul 28, 2016·Scandinavian Journal of Public Health·Tuulikki VehkoIlmo Keskimäki
Feb 5, 2019·Journal of Public Health Dentistry·John F MoellerRichard J Manski

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Methods Mentioned

BETA
contraception

Software Mentioned

SOTKA

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