1. Are psychiatric emergency care patients in contact with their GP? Ingrid H. Johansen, Tone Morken and Steinar Hunskår

2. In Norway Regular General Practitioners (rGPs) GPs gatekeepers to all specialized health care Psychiatric diagnoses: –rGPs: 10% –Casualty clinics: 4%

3. Research question Do the same individual psychiatric patients utilize both the casualty clinic and the rGPs’ surgery?

4. Setting 24 000 individuals, one year GP co- operative rGPs’ surgeries rGPs’ surgeries rGPs’ surgeries rGPs’ surgeries

5. Method Electronic medical records Billing cards Variables: Gender, age, municipality of residence, first diagnosis, time, reimbursement codes Unique codes

6. Results rGPs’ surgeriesCasualty clinic Unique patients171087304 Traceable patients98%73% Patients with P-diagnosis1967179 Percent of unique patients11.5%2.5%

7. Results cont. Casualty clinic rGPs’ surgeries Casualty clinic n=179 Non-traceable n= 25 Contact rGP n=118 P-diagnoses given n=84 Other diagnoses given n=34 No contact rGP n=36

8. Results cont. Casualty clinic rGPs’ surgeries Casualty clinic n=179 Non-traceable n= 25 Contact rGP n=118 P-diagnoses given n=84 Other diagnoses given n=34 No contact rGP n=36

9. Results cont. Casualty clinic rGPs’ surgeries Casualty clinic n=179 Non-traceable n= 25 Contact rGP n=118 P-diagnoses given n=84 Other diagnoses given n=34 No contact rGP n=36

10. Results cont. Casualty clinic rGPs’ surgeries rGP surgeries n=1967 Non-traceable n= 8 Contact casualty clinic n=536 P-diagnoses given n=84 Other diagnoses given n=452 No contact casualty clinic n=1423

11. Results cont. Casualty clinic rGPs’ surgeries rGP surgeries n=1967 Non-traceable n= 8 Contact casualty clinic n=536 P-diagnoses given n=84 Other diagnoses given n=452 No contact casualty clinic n=1423

12. Results cont. Casualty clinic rGPs’ surgeries rGP surgeries n=1967 Non-traceable n= 8 Contact casualty clinic n=536 P-diagnoses given n=84 Other diagnoses given n=452 No contact casualty clinic n=1423

13. Conclusion Some of the psychiatric patients at the rGPs surgeries used the casualty clinic. Most psychiatric patients at the casualty clinic also used their GP.

14. ? ingrid.johansen@isf.uib.no