Sami-speaking municipalities and a control group’s access to somatic specialist health care (SHC): a retrospective study on general practitioners’ referrals

Article English OPEN
Norum, Jan ; Nieder, Carsten (2012)
  • Publisher: Co-Action Publishing
  • Journal: International Journal of Circumpolar Health, volume 71 (issn: 1797-237X, eissn: 1239-9736)
  • Related identifiers: doi: 10.3402/ijch.v71i0.17346, pmc: PMC3417552
  • Subject: specialist health care | etnisk minoritet | referral | spesialisthelsetjeneste | samisk | Original Research Article | henvisning | ethnic minority | Sami, specialist health care, referral, ethnic minority | sami

Objectives: 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. Methods: 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. Results: 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. Conclusion: 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.Keywords: Sami; specialist health care; referral; ethnic minority(Published: 19 March 2012)Citation: Int J Circumpolar Health 2012, 71: 17346 - DOI: 10.3402/IJCH.v71i0.17346
  • References (25)
    25 references, page 1 of 3

    1. van Dijk CE, Verheij RA, Spreeuwenberg P, Groenewegen PP, de Bakker DH. Minor surgery in general practice and effects on referrals to hospital care: observational study. BMC Health Serv Res. 2011;11:2.

    2. Haldorsen T, Tynes T. Cancer in the Sa´mi population of North-Norway 1970 97. Eur J Cancer Prev. 2005;14:63 8.

    3. International Labour Organization (ILO). C169 Indigenous and tribal peoples convention, 1989. Geneva: International Labour Organization (ILO); 1989 [cited 2011 Jan 19]. Available from:

    4. Nystad T, Melhus M, Lund E. The monolingual Sa´mi population is less satisfied with the primary health care. Tidsskr Nor Laegeforen. 2006;126:738 40. [In Norwegian]

    5. Broderstad AR, Melhus M, Lund E. Iron status in a multiethnic population (age 36 80 yr) in northern Norway: the SAMINOR study. Eur J Haematol. 2007;79:447 54.

    6. Ministry of Health and Care services. The coordination reform. Proper treatment at the right place and right time. The report no 47 (2008 2009) to the Storting. Oslo: Ministry of Health and Care services; 2009. p. 1 149.

    7. Department of Health. The Northern Norway Regional Health Authority's mission 2009. Oslo: Department of Health, Departments' service centre; 2009. p. 1 34.

    8. Mukadam N, Cooper C, Basit B, Livingston G. Why do ethic elders present later to UK dementia services? A qualitative study. Int Psychogeriatr. 2011;23:1070 7.

    9. Langord A, Resnicow K, An L. Clinical trial awareness among racial/ethnic minorities in HINTS 2007. Sociodemographic, attitudinal, and knowledge correlates. J Health Commun. 2010;15(Suppl 3):92 101.

    10. Robb K, Wardle J, Stubbings S, Ramirez A, Austoker J, Macleod U, et al. Ethnic disparities in knowledge of cancer screening programmes in the UK. J Med Screen. 2010;17: 125 31.

  • Metrics
    No metrics available
Share - Bookmark