Publicatie datum

Shared care seeking behaviour within families.

Cardol, M., Bosch, W. van den, Bakker, D. de, Groenewegen, P. Shared care seeking behaviour within families. Occhio Clinico: 2006(suppl. 6) 24. Abstract. 12th Regional Conference of the European Society of General Practice/Family Medicine: "Towards medical renaissance bridging the gap between biology and humanities", Florence, Italy on 27-30 August 2006.
The objective of this study was to examine the extent to which the family influences individual use of general practitioner care. 42262 Families with children aged 2-21 years registered in 96 practices participated using data of the sec ond National Morbidity Survey. Multilevel modelling was used to analyse contact frequencies of individuals within families within practices. Family influence on individual frequency of contact with general practice and correlation in frequency of contacts between parents and children was chosen as main outcome measures. After correction for patients' age and sex, analysis of siblings indicates that 22% of the variance in frequencies of contact can be ascribed to influence of the family. This means that contact frequencies of family members within families resemble each other, whereas differences in contact frequencies exist between families. Almost 6% of the variance refers to differences between practices and 73% of the variance refers to individual differences. The strongest correlations were found between mothers and children and between children. Conclusions: The extent of shared help seeking behaviour within families has considerable implications in the context of the practice. (aut.ref.)