{"id":"https://openalex.org/W47223213","doi":null,"title":"They call it stormy Monday--reasons for referral from primary to secondary care according to the days of the week.","display_name":"They call it stormy Monday--reasons for referral from primary to secondary care according to the days of the week.","publication_year":1999,"publication_date":"1999-11-01","ids":{"openalex":"https://openalex.org/W47223213","mag":"47223213","pmid":"https://pubmed.ncbi.nlm.nih.gov/10818661","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1313566"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:257848","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1313566","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC1313566","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011286854","display_name":"Arto T. Vehvil\u00e4inen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I175532246","display_name":"University of Eastern Finland","ror":"https://ror.org/00cyydd11","country_code":"FI","type":"education","lineage":["https://openalex.org/I175532246"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"A T Vehvil\u00e4inen","raw_affiliation_strings":["Department of Community Health and General Practice, University of Kuopio, Finland. Arto.Vehvilainen@uku.fi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Health and General Practice, University of Kuopio, Finland. Arto.Vehvilainen@uku.fi","institution_ids":["https://openalex.org/I175532246"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110328013","display_name":"Esko Kumpusalo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E A Kumpusalo","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5103426737","display_name":"Jorma K. Takala","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J K Takala","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.9023,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.74735126,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":93},"biblio":{"volume":"49","issue":"448","first_page":"909","last_page":"11"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.4758000075817108,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.4758000075817108,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.36079999804496765,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.05550000071525574,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/weekly-variation","display_name":"weekly variation","score":0.5870000123977661},{"id":"https://openalex.org/keywords/day-of-the-week","display_name":"days of the week","score":0.7630000114440918},{"id":"https://openalex.org/keywords/referral-to-secondary-care","display_name":"secondary care referral","score":0.7229999899864197},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.8080000281333923},{"id":"https://openalex.org/keywords/angina","display_name":"angina pectoris","score":0.9259999990463257},{"id":"https://openalex.org/keywords/fracture","display_name":"fracture","score":0.8410000205039978},{"id":"https://openalex.org/keywords/ocular-infection","display_name":"ocular infection","score":0.9380000233650208},{"id":"https://openalex.org/keywords/headache","display_name":"headache","score":0.9959999918937683},{"id":"https://openalex.org/keywords/appendicitis","display_name":"appendicitis","score":0.9449999928474426},{"id":"https://openalex.org/keywords/health-financing-reform","display_name":"health financing reform","score":0.8130000233650208},{"id":"https://openalex.org/keywords/international-classification-of-primary-care","display_name":"International Classification of Primary Care","score":0.8320000171661377}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9149070978164673},{"id":"https://openalex.org/C2779242764","wikidata":"https://www.wikidata.org/wiki/Q129","display_name":"Thursday","level":2,"score":0.8115880489349365},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.8083916902542114},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.6787047386169434},{"id":"https://openalex.org/C3017744659","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Secondary care","level":3,"score":0.624223530292511},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.5223796963691711},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5208243131637573},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4153061509132385},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4104250967502594},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.19067707657814026},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005387","descriptor_name":"Finland","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010507","descriptor_name":"Periodicity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":4,"locations":[{"id":"pmh:oai:europepmc.org:257848","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1313566","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmid:10818661","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10818661","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The British journal of general practice : the journal of the Royal College of General Practitioners","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:1313566","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1313566/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Br J Gen Pract","raw_type":"Text"},{"id":"mag:47223213","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10818661","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:257848","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1313566","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":5,"referenced_works":["https://openalex.org/W152047832","https://openalex.org/W1974618761","https://openalex.org/W2018170168","https://openalex.org/W2068141314","https://openalex.org/W2416900793"],"related_works":["https://openalex.org/W2007309045","https://openalex.org/W2033875705","https://openalex.org/W1983131894","https://openalex.org/W2048776894","https://openalex.org/W2028647706","https://openalex.org/W2405275745","https://openalex.org/W3137364270","https://openalex.org/W2264303083","https://openalex.org/W2083237220","https://openalex.org/W2116925282"],"abstract_inverted_index":{"Previous":[0],"studies":[1],"of":[2,10,45,60,85,91,102,106,114,124,141,168,174],"specialist":[3],"care":[4,30,33,51,144,150],"have":[5],"shown":[6],"that":[7],"the":[8,20,24,83,89,100,107,115,122,172],"onset":[9],"acute":[11],"myocardial":[12],"infarction":[13],"occurs":[14],"most":[15],"frequently":[16],"on":[17],"Mondays;":[18],"however,":[19],"septadian":[21],"pattern":[22],"in":[23,43,52,88,99,121,157],"reasons":[25],"for":[26,134],"referrals":[27],"from":[28,47],"primary":[29,48,142],"to":[31,49,69,76,146,148,170],"secondary":[32,50,149],"has":[34],"not":[35,152],"been":[36],"examined":[37,40],"previously.":[38],"We":[39],"daily":[41],"variations":[42],"rates":[44],"referral":[46,147],"central":[53],"and":[54,73,81,112,130],"northern":[55],"Finland,":[56],"using":[57],"International":[58],"Classification":[59],"Primary":[61],"Care":[62],"codes,":[63],"during":[64],"two":[65],"weeks":[66],"(30":[67],"November":[68,75],"6":[70],"December":[71,78],"1992,":[72],"28":[74],"4":[77],"1994)":[79],"before":[80],"after":[82],"introduction":[84],"a":[86,158],"reform":[87],"system":[90],"financing":[92],"health":[93,143],"care.":[94],"Monday":[95],"peaks":[96,118,127],"were":[97,119,132],"observed":[98,133],"occurrence":[101,123],"angina":[103],"pectoris,":[104],"fractures":[105],"tibia/fibula,":[108],"lumbar":[109],"disc":[110],"lesions,":[111],"infections":[113],"eye.":[116],"Tuesday":[117,129],"found":[120],"headache.":[125],"Two":[126],"(on":[128],"Thursday)":[131],"patients":[135,169],"with":[136],"suspected":[137],"appendicitis.":[138],"Many":[139],"problems":[140],"leading":[145],"are":[151],"random":[153],"events":[154],"but":[155],"occur":[156],"weekly":[159],"pattern.":[160],"Further":[161],"investigation":[162],"is":[163],"needed":[164],"within":[165],"these":[166],"subgroups":[167],"identify":[171],"causes":[173],"this":[175],"variation.":[176]},"counts_by_year":[{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}
