title: Geographical variation in a fatal outcome of acute myocardial infarction and association with contact to a general practitioner.
abstract: Geographical variation in incidence and mortality of acute myocardial infarction (AMI) is present in Denmark. We aimed at examining the association between contact to a general practitioner (GP) the year before AMI and a fatal outcome of AMI.
  
  
  
  Register-based data and individual-level addresses including 69,608 individuals with AMI in 2006-2011. A Bayesian hierarchical logistic regression model was used to examine the association.
  
  
  
  A fatal outcome of AMI was seen among 12.0% (78%) of individuals with (without) contact to a GP the year before AMI. A significant association was estimated.
  
  
  
  A fatal outcome of AMI was significantly associated with contact to a GP. A high population to GP ratio and long distance to GP could not explain the increased odds of a fatal outcome of AMI for individuals with no contact to a GP.
authors.affiliation: University of Southern Denmark, National Institute of Public Health, Øster Farimagsgade 5A, DK-1353 Copenhagen, Denmark . Electronic address: ake@niph.dk.
authors.forename: Annette Kjær
authors.initials: AK
authors.lastname: Ersbøll
authors.affiliation: University of Southern Denmark, National Institute of Public Health, Øster Farimagsgade 5A, DK-1353 Copenhagen, Denmark.
authors.forename: Thora Majlund
authors.initials: TM
authors.lastname: Kjærulff
authors.affiliation: University of Southern Denmark, National Institute of Public Health, Øster Farimagsgade 5A, DK-1353 Copenhagen, Denmark.
authors.forename: Kristine
authors.initials: K
authors.lastname: Bihrmann
authors.affiliation: University of Southern Denmark, Department of Sport Science and Clinical Biomechanics, Campusvej 55, DK-5230, Odense, Denmark.
authors.forename: Jasper
authors.initials: J
authors.lastname: Schipperijn
authors.affiliation: University of Southern Denmark, National Institute of Public Health, Øster Farimagsgade 5A, DK-1353 Copenhagen, Denmark ; Department of Cardiology, Copenhagen University Hospital Gentofte, Kildegaardsvej 28 DK-2900 Hellerup, Denmark; The Danish Heart Foundation, Hauser Plads 10, DK-1127 Copenhagen, Demark.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Gislason
authors.affiliation: Danish Centre of Inequality in Health, Department of Cardiology, Aalborg University Hospital, Hobrovej 18-22, DK-9100 Aalborg, Denmark.
authors.forename: Mogens Lytken
authors.initials: ML
authors.lastname: Larsen
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003718:Denmark / Q000453:epidemiology; D005260:Female; D058006:General Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000401:mortality; D009819:Office Visits / Q000706:statistics & numerical data*; D012042:Registries; D062211:Spatio-Temporal Analysis; D016019:Survival Analysis
keywords: Acute myocardial infarction; Gaussian field; General practice; INLA; Primary healthcare contact; SPDE