[Declining number of home visits to older adults by GPs: an observational study using data from electronic health records in The Netherlands, 2017-2023].

Q4 Medicine

Nederlands tijdschrift voor geneeskunde Pub Date : 2026-02-24

Joost W Vanhommerig, Chantal J Leemrijse, Marianne J Heins, Bart J Knottnerus, Ron F Schipper, Mariette Hooiveld

{"title":"[Declining number of home visits to older adults by GPs: an observational study using data from electronic health records in The Netherlands, 2017-2023].","authors":"Joost W Vanhommerig, Chantal J Leemrijse, Marianne J Heins, Bart J Knottnerus, Ron F Schipper, Mariette Hooiveld","doi":"","DOIUrl":null,"url":null,"abstract":"Objective: To analyse the number of GP home visits from 2017-2023 in The Netherlands, and to investigate whether this trend differed according to age, sex, multimorbidity, and neighbourhood deprivation.Design: An observational study that used data derived from Nivel Primary Care Database, containing routinely recorded data from approximately 500 Dutch GP practices.Method: The number of home visits was calculated by age, sex, multimorbidity, and neighbourhood deprivation.Results: A 32% overall decrease in home visits was observed, with the sharpest decline in 2020. Short visits dropped by 52%, while visits for intensive GP care, often related to end-of-life situations, increased by 12%.Conclusion: We report a continuing decline in the number of home visits by GPs, comparing 2023 with 2017. Home visits for intensive GP care, often for patients at the end of life, increased since 2017. GPs may be forced to make choices owing to increasing workload and evolving care demands.","PeriodicalId":18903,"journal":{"name":"Nederlands tijdschrift voor geneeskunde","volume":"170 ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nederlands tijdschrift voor geneeskunde","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To analyse the number of GP home visits from 2017-2023 in The Netherlands, and to investigate whether this trend differed according to age, sex, multimorbidity, and neighbourhood deprivation.

Design: An observational study that used data derived from Nivel Primary Care Database, containing routinely recorded data from approximately 500 Dutch GP practices.

Method: The number of home visits was calculated by age, sex, multimorbidity, and neighbourhood deprivation.

Results: A 32% overall decrease in home visits was observed, with the sharpest decline in 2020. Short visits dropped by 52%, while visits for intensive GP care, often related to end-of-life situations, increased by 12%.

Conclusion: We report a continuing decline in the number of home visits by GPs, comparing 2023 with 2017. Home visits for intensive GP care, often for patients at the end of life, increased since 2017. GPs may be forced to make choices owing to increasing workload and evolving care demands.

本刊更多论文

[全科医生对老年人家访次数减少：一项使用荷兰电子健康记录数据的观察性研究，2017-2023年]。

目的：分析2017-2023年荷兰全科医生家访次数，并调查这一趋势是否因年龄、性别、多发病和邻里剥夺而有所不同。设计：一项观察性研究，使用来自Nivel初级保健数据库的数据，包含大约500名荷兰全科医生的常规记录数据。方法：按年龄、性别、多发病、邻里剥夺等因素计算家访次数。结果：家访总体下降32%，2020年降幅最大。短期就诊减少了52%，而通常与临终情况有关的全科医生重症监护的就诊增加了12%。结论：我们报告，与2017年相比，2023年全科医生的家访次数持续下降。自2017年以来，对重症全科医生护理的家访（通常是针对生命末期的患者）有所增加。由于工作量增加和护理需求不断变化，全科医生可能被迫做出选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Nederlands tijdschrift voor geneeskunde Medicine-Medicine (all)

CiteScore

0.30

自引率

0.00%

发文量

302

期刊介绍： Het NTVG staat bekend als hét wetenschappelijke algemene medische tijdschrift. De lange historie en de degelijkheid maken het tijdschrift tot een bolwerk van medische wetenschap in druk. Ook door de goede leesbaarheid draagt het tijdschrift bij aan de voortdurende dialoog over de geneeskunde.