The patients' illness perceptions and the use of primary health care.

作者: Lisbeth Frostholm , Per Fink , Kaj S. Christensen , Tomas Toft , Eva Oernboel

DOI: 10.1097/01.PSY.0000189164.85653.BC

关键词:

摘要: OBJECTIVE To investigate if primary care patients' perceptions of a current health problem were associated with use care. METHOD One thousand seven hundred eighty-five patients presenting new to 1 38 physicians from 28 general practices in Aarhus County, Denmark. Patients completed questionnaire on their illness and emotional distress before the consultation. The for each patient diagnostics prognostics. Register data utilization 3 years 2 after baseline obtained. Odds ratios estimated examine associations between previous perceptions. Linear regression analysis was performed predicted later use. RESULTS Previous use: Higher psychosocial, stress, lifestyle attributions. Accident/chance attributions higher chronic disorder but lower without disorder. A strong identity (number self-reported symptoms), worry, long timeline perspective, belief that symptoms would have serious consequences, all variables Use during follow-up: Infection/lowered immunity disorder, whereas psychosocial patients. Illness worry identity, stress accident/chance among strongest predictors multivariate model including variables. CONCLUSIONS Patients' are may offer an obvious starting point biopsychosocial approach

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