Jon Helgheim Holte

• Moger, Tron Anders; Holte, Jon Helgheim; Amundsen, Olav; Haavaag, Silje Bjørnsen; Edvardsen, Anne & Bragstad, Line Kildal [Show all 9 contributors for this article] (2024). Associations between outpatient care and later hospital admissions for patients with chronic obstructive pulmonary disease - a registry study from Norway. BMC Health Services Research. ISSN 1472-6963. 24(1). doi: 10.1186/s12913-024-10975-4. Full text in Research Archive
• Moger, Tron Anders; Amundsen, Olav; Tjerbo, Trond; Hellesø, Ragnhild; Holte, Jon Helgheim & Vøllestad, Nina Køpke (2023). Innovations in use of registry data (INOREG) - Design of a registry-based study analyzing care pathways and outcomes for chronic patients. Nordic Journal of Health Economics. ISSN 1892-9729. 6(1), p. 129–146. Full text in Research Archive
• Holte, Jon Helgheim; Hagen, Terje P. & Tjerbo, Trond (2023). Brukere med særlig høye kostnader i pleie- og omsorgstjenestene – hvem er de, og hva betyr de for kommunale utgifter? Magma forskning og viten. ISSN 1500-0788. 26(5), p. 93–102. doi: 10.23865/magma.v26.1423. Full text in Research Archive Show summary

  Bakgrunn: Det er kjent fra internasjonal litteratur at en liten gruppe tjenestemottakere står for en stor andel av de totale kostnadene i helsetjenestene. Om det finnes en tilsvarende gruppe med høykostnadsbrukere innenfor pleie- og omsorgstjenestene, og hva som eventuelt kjennetegner disse brukerne, er ikke undersøkt i Norge eller andre vestlige land. Mål: Målet for studien er å etablere oversikt over høykostnadsbrukere innenfor de kommunale pleie- og omsorgstjenestene i Norge. Finnes det en liten gruppe av tjenestemottakere som står for en stor del av kostnadene i de kommunale pleie- og omsorgstjenestene? Hvilke grupper representerer de, og hva betyr de for kommunale utgifter? Metode: Analysen gjøres på individdata fra Kommunalt pasientregister (KPR) for 2019. Pasientene med 5 prosent høyest kostnader defineres som brukere med særlig høye kostnader – høykostnadsbrukere. Oddsen for å være i gruppen av høykostnadsbrukere estimeres deretter ved en flernivåanalyse. Resultater: Høykostnadsbrukerne står for 39 prosent av de samlede kostnadene for kommunale pleie- og omsorgstjenester. Gjennomsnittskostnaden for høykostnadsbrukerne er knapt 2,2 millioner kroner. For de øvrige brukerne er gjennom-snittskostnaden vel 186 000 kroner. Det er betydelige forskjeller mellom høykostnadsbrukerne og de øvrige brukerne særlig når det gjelder tjenestebruk, alder og diagnoser. For høykostnadsbrukerne genereres nesten 90 prosent av kostnadene gjennom bruk av hjemmetjenester. Den største kostnaden er forbundet med Praktisk bistand – opplæring (36,2 prosent). Høykostnadsbrukerne er i gjennomsnitt yngre enn de øvrige brukerne (46 år vs. 66 år) og har ofte funksjonshemminger. Konklusjon: En liten gruppe tjenestemottakere står for en stor andel av de samlede kostnadene for pleie- og omsorgstjenester i Norge. Disse brukerne er yngre, hjemmeboende og funksjonshemmede

• Amundsen, Olav; Moger, Tron Anders; Holte, Jon Helgheim; Haavaag, Silje Bjørnsen; Bragstad, Line Kildal & Hellesø, Ragnhild [Show all 8 contributors for this article] (2023). Combination of health care service use and the relation to demographic and socioeconomic factors for patients with musculoskeletal disorders: a descriptive cohort study. BMC Health Services Research. ISSN 1472-6963. 23(1). doi: 10.1186/s12913-023-09852-3. Full text in Research Archive
• Scott, Anthony; Holte, Jon Helgheim & Witt, Julia (2020). Preferences of physicians for public and private sector work. Human Resources for Health. ISSN 1478-4491. 18(1), p. 1–10. doi: 10.1186/s12960-020-00498-4.
• Holte, Jon Helgheim; Sivey, Peter; Abelsen, Birgit & Olsen, Jan Abel (2016). Modelling Nonlinearities and Reference Dependence in General Practitioners' Income Preferences. Health Economics. ISSN 1057-9230. 25(8), p. 1020–1038. doi: 10.1002/hec.3208.
• Holte, Jon Helgheim; Abelsen, Birgit; Halvorsen, Peder Andreas & Olsen, Jan Abel (2015). General practitioners’ altered preferences for private practice vs. salaried positions: a consequence of proposed policy regulations? BMC Health Services Research. ISSN 1472-6963. 15(119). doi: 10.1186/s12913-015-0777-4. Full text in Research Archive
• Holte, Jon Helgheim; Kjær, Trine; Abelsen, Birgit & Olsen, Jan Abel (2015). The impact of pecuniary and non-pecuniary incentives for attracting young doctors to rural general practice. Social Science and Medicine. ISSN 0277-9536. 128, p. 1–9. doi: 10.1016/j.socscimed.2014.12.022.
• Holte, Jon Helgheim; Mæstad, Ottar & Jani, Jagrati V (2012). The decision to vaccinate a child: An economic perspective from southern Malawi. Social Science and Medicine. ISSN 0277-9536. 75(2), p. 384–391. doi: 10.1016/j.socscimed.2012.03.015.

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• Amundsen, Olav; Moger, Tron Anders; Vøllestad, Nina Køpke; Tjerbo, Trond; Hellesø, Ragnhild & Bragstad, Line Kildal [Show all 8 contributors for this article] (2023). INOREG workshop.
• Moger, Tron Anders; Amundsen, Olav & Holte, Jon Helgheim (2022). Innovations in use of register data (INOREG) – Design of a register-based study analysing care pathways and outcomes for chronic patients. Show summary

  Abstract: In recent years there have been several political initiatives in Norway, requiring increased research into how multimorbidity and health services in the municipality affect outcomes such as work participation, disability, quality of life and hospital admissions for patients with chronic diseases. Most of this care happens outside hospitals and has been difficult to capture in large, register-based studies. Focusing on two important chronic groups, patients with chronic obstructive pulmonary disease (COPD) and musculoskeletal disorders (MSD), the INOREG project will meet this need. In the paper we present the study design utilizing register data at the individual level for patients in Oslo and Trondheim, covering specialized care, primary care, home-based and long-term care, sociodemographic and –economic data and functioning. The database is constructed from a novel linkage of national health registers to care data from Oslo and Trondheim municipalities, capturing the entire population of COPD and MSD patients in the cities, and functioning and quality of life for ca. 3800 patients treated at physiotherapy clinics in the FYSIOPRIM project. This enables construction of complete care pathways and outcomes at the individual level during 2008-2020. The results from the project will fill knowledge gaps regarding patterns of care at different levels in the health care system and the association to outcomes for these patient groups. This will help inform decision makers about how services could be organized to improve provisions and coordination of services, as well as reduce inequalities in health.

• Amundsen, Olav; Holte, Jon Helgheim; Vøllestad, Nina Køpke & Moger, Tron Anders (2022). INOREG-prosjektet - drøfting av resultater.
• Moger, Tron Anders; Vøllestad, Nina Køpke; Hellesø, Ragnhild; Tjerbo, Trond; Holte, Jon Helgheim & Amundsen, Olav (2022). INOREG workshop.
• Amundsen, Olav; Vøllestad, Nina Køpke; Moger, Tron Anders; Tjerbo, Trond & Holte, Jon Helgheim (2022). Is future disability benefit associated with specific combinations of health care use for musculoskeletal disorders? Show summary

  Background Musculoskeletal disorders (MSD) are one of the highest contributors to disability benefit in Norway and other OECD-countries. This is an increasing problem in most OECD countries and is a major challenge for welfare states. To be able to prevent people from falling out of the work force it is important to identify combinations of care associated with poorer outcomes and increased risk of future disability pension. Objective Examine how combinations of health care use relate to future disability benefit, controlling for demographic, socioeconomic and clinical factors. Methods The study combines Norwegian data registers with information on health care use, diagnosis, comorbidities, demographic, education, socioeconomic factors and disability benefits. Patients are included at the time of their first health care visit for MSD in 2013-2015 and are followed until end of 2020. Patients between 18-62 years and registered in the work force at index are included. The outcome is being registered with disability benefit minimum 12 months after index. Multivariable regression analysis is used with combinations of health care use for the first 12 months as the main explanatory variables. Combinations of health care use are identified by variables for having used GP, physiotherapy and specialist health care for MSD and creating combinations of these dichotomous variables. Other variables were included as covariates. Results/conclusion Using specialist health care for MSD in combination with GP (OR 1.91, 95%CI 1.36-2.68) or in combination with both GP and physiotherapy services (OR 2.38, 95%CI 1.53-3.71) was associated with increased risk of future disability pension compared to seeing GP alone. Seeing physiotherapist only or in combination with GP was not associated with increased risk of future disability pension. Reasons for these associations remain to be explored.

• Holte, Jon Helgheim (2022). Modelling long term trajectories for primary and secondary health care utilization in COPD patients: A population-based study using Norwegian registry data. Show summary

  Background Few studies examine how the use of health services for COPD patients develops over time. Objective This study aims to identify care trajectories - combinations of primary and secondary health services use – for COPD patients over a period of five years. We also seek to identify determinants for variations in care trajectories. Methods We use data from a wide range of administrative registers. This provides us with nearly complete information on health- and social service utilization, coupled with data on social background, for all COPD patients in Trondheim and Oslo in the period from 2008-2019. The data was analyzed using a groupbased multi trajectory model (GBMT) on a sample of 13 467 individuals who are followed from the time of first contact with COPD and five years onwards. Results Six distinct care trajectories for COPD-related health services use emerged in our analysis. The most common trajectory involves consistent (yearly) use of GP services with little use of other services (38%). The second most common trajectory involves little use of health services apart from contact in the first year, which usually take place in general practice (28%). Furthermore, two trajectories involves consistent use of GP services accompanied with either some use of hospital and physiotherapist services (21%) or consistent use of contract specialist (6%). The two last trajectories both involves consultations with specialist contractor, of which one involves consistent contact with a specialist contractor and little use of other services (4%), while the second only involves contact with specialist contractor in the first year and inconsistent use of GP services throughout the five years. Conclusion This study shows that COPD patients constitute a highly heterogeneous group in terms of health care services utilization. It seems that the current guidelines for COPD treatment is not complied with for many patients. More research on the effects of different types of care pathways is warranted.

• Abelsen, Birgit & Holte, Jon Helgheim (2020). Erfaringer fra ALIS-Vest og ALIS-Nord – resultater fra ekstern evaluering.
• Tyrihjell, Johannes Bjørnstad; Godager, Geir; Pedersen, Kine; Værnø, Susanne Gerda; Gundersen, Martine Bergh & Nyen, Johanne elise [Show all 12 contributors for this article] (2024). Evaluering av tiltak i allmennlegetjenesten: Evalueringsrapport III. Oslo Economics. Full text in Research Archive
• Pedersen, Kine; Godager, Geir; Tyrihjell, Johannes Bjørnstad; Værnø, Susanne Gerda; Gundersen, Martine Bergh & Iversen, Tor [Show all 11 contributors for this article] (2023). Evaluering av handlingsplan for allmennlegetjenesten 2020–2024: Evalueringsrapport II. Oslo Economics. Full text in Research Archive
• Holte, Jon Helgheim; Abelsen, Birgit; Fosse, Anette; Markussen, Tom E. & Olsen, Terje (2023). Spesialistutdanning i allmennmedisin Nye roller og mer ansvar for kommunene. Fafo. ISSN 978-82-324-0671-5.
• Kallander, Ellen Katrine; Holte, Jon Helgheim & Olsen, Terje (2022). Fra sosialhjelp til selvhjulpenhet. Bedre levekår for levekårsutsatte barnefamilier som mottar økonomisk sosialhjelp. Fafo.
• Pedersen, Kine; Pedersen, Kine; Godager, Geir; Rognlien, Hans David; Tyrihjell, Johannes Bjørnstad & Værnø, Susanne Gerda [Show all 12 contributors for this article] (2022). Evaluering av handlingsplan for allmennlegetjenesten 2020–2024: Evalueringsrapport I. Oslo Economics. Full text in Research Archive
• Kallander, Ellen Katrine; Lien, Lise & Holte, Jon Helgheim (2021). Analyse av fritidstilbud i Bydel Gamle Oslo. Fafo.
• Kallander, Ellen Katrine; Holte, Jon Helgheim; Haugnæss, Gitte; Brochmann, Marit & Olsen, Terje (2021). Evaluering av Oslo kommunes satsning Barnehjernevernet. Fafo. ISSN 978-82-324-0671-5.
• Holte, Jon Helgheim; Olsen, Terje & Markussen, Tom E. (2021). Følgestudie: ALIS-Nord. Underveisnotat 2. Fafo. ISSN 0804-5135.
• Holte, Jon Helgheim & Strand, Anne Hege Henden (2021). Digital omlegging under koronapandemien. Oppfølging av unge i AFT-tiltak. Fafo. ISSN 0804-5135.
• Strand, Anne Hege Henden; Alonso, Carlos; Avagianou, Athina; Emmanouil, Effie; Gialis, Stelios & Holte, Jon Helgheim [Show all 9 contributors for this article] (2020). Transnational report on the impact of education and training initiatives on young NEETs. 3rd Transnational Research Output of WP1: "Stimulate Trans-locally: A transnational Research Network on the study of Youth Employment policies in MED EEA". University of the Aegean.
• Strand, Anne Hege Henden; Grønningsæter, Arne Backer; Nielsen, Roy A & Holte, Jon Helgheim (2020). Tid for aktivering. Evaluering av forsterket ungdomsinnsats i NAV. Fafo. ISSN 978-82-324-0566-4.
• Bjøru, Emil Cappelen; Hippe, Jon Mathias; Holte, Jon Helgheim; Røtnes, Rolf; Trygstad, Sissel Charlotte & Bergene, Ann Cecilie (2019). Når velferd er til salgs. Ideelle og kommersielle leverandører av velferdstjenester . Fafo.
• Alsos, Kristin; Bergene, Ann Cecilie; Bjøru, Emil Cappelen; Hippe, Jon Mathias; Holte, Jon Helgheim & Ibenholt, Karin [Show all 7 contributors for this article] (2019). Lønns-, arbeids- og pensjonsvilkår i offentlig og privat barnevern . Fafo.

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