Norum Jan, Nieder Carsten
Northern Norway Regional Health Authority, NO-8038 Bodø, Norway.
Int J Circumpolar Health. 2012 Mar 19;71:17346. doi: 10.3402/IJCH.v71i0.17346.
The Sami people constitute the indigenous people in northern Norway. The objective of this study was to clarify whether they have a similar supply of somatic specialist health care (SHC) as others.
The referrals from general practitioners (GPs) in the primary health care (PHC) in the administration area of the Sami language law (8 municipalities) were matched with a control group of 11 municipalities. Population data was accessed from Statistics Norway and the time period 2007-2010 was analysed. The main outcome was the number of referrals per 1,000 inhabitants according to age group, gender and place of living.
504,292 referrals in northern Norway were indentified and the Sami and control group constituted 23,093 and 22,541 referrals, respectively. The major findings were a similar referral ratio (RR) (1.14 and 1.17) (p = 0.624) and women more commonly referred (female/male ratio 1.45 and 1.41) in both groups. GPs in both groups were loyal to their local hospital trust.
Inhabitants in Sami-speaking municipalities in northern Norway have a similar supply of SHC services as controls. Inter-municipal variation was significant in both groups.
萨米人是挪威北部的原住民。本研究的目的是阐明他们获得的躯体专科医疗保健（SHC）服务是否与其他人相似。
将萨米语法律管辖地区（8个市镇）初级卫生保健（PHC）中全科医生（GPs）的转诊情况与11个市镇的对照组进行匹配。从挪威统计局获取人口数据，并对2007年至2010年期间进行分析。主要结果是按年龄组、性别和居住地划分的每1000名居民的转诊次数。
在挪威北部共识别出504,292次转诊，萨米组和对照组分别有23,093次和22,541次转诊。主要发现是两组的转诊率（RR）相似（分别为1.14和1.17）（p = 0.624），且两组中女性转诊更为常见（女性/男性比例分别为1.45和1.41）。两组的全科医生都倾向于将患者转诊至当地的医院信托机构。
挪威北部讲萨米语市镇的居民获得的SHC服务与对照组相似。两组市镇间的差异均显著。
