Publicatie
Publicatie datum
Urban-rural differences in GP care utilization: the effect of social suport and attitude on visiting the general practitioner.
Ruysbroek, A., Droomers, M., Westert, G.P. Urban-rural differences in GP care utilization: the effect of social suport and attitude on visiting the general practitioner. European Journal of Public Health: 2004, 14(4 Suppl.) 63. Abstract. 12 th Annual EUPHA meeting: Urbanisation and health: new challenges in health promotion and prevention in Oslo, Norway, 7-9 october 2004.
BACKGROUND. Urban residents tend to use more health care services than rural inhabitants do. AIM. We explore the contribution of social support and people's attitude towards their GP to the explanation of urban-rural differences in the use of GP care. METHODS. The second Dutch National Survey of General Practice was carried out in 2000 and 2001 covering 104 GP practices containing 195 GPs. A random selection from the listed patients of participating practices was interviewed concerning self-perceived health, health care utilisation and related factors (65% response). For this study respondents in the age of 21 and older are selected (N=9.333). Logistic regression models are fit tot analyse the relation between urbanisation, social support, patient's attitude and the use of GP
care, adjusted for age, sex, education and self-perceived health. RESULTS. People living in (very)
highly urbanised areas visit the general practitioner 1.2 times more often than people living in
rural areas (p 0.024). The more social support people receive, the more often they visit their GP.
GP visits are also more frequent among people who report moderate or much lack of support compared with people who report little lack of support. People with a more positive attitude towards the GP, visit the GP more often. The outcome that urban residents visit their GP more often than rural inhabitants partly (30%) has its origins in the fact that city-dwellers receive more social support and experience more lack of support. Attitude on the other hand, does noet affect urban-rural differences in GP visits, because almost no urban-rural differences in attitude are found.
CONCLUSIONS. Urban residents report receiving more social support than rural residents, but are also more displeased with the amount of support they receive. Both these characteristics of urbanites increase their GP visits. Attention fo this pattern is expedient, to avoid needless use of GP care by urban residents. (aut.ref.)
care, adjusted for age, sex, education and self-perceived health. RESULTS. People living in (very)
highly urbanised areas visit the general practitioner 1.2 times more often than people living in
rural areas (p 0.024). The more social support people receive, the more often they visit their GP.
GP visits are also more frequent among people who report moderate or much lack of support compared with people who report little lack of support. People with a more positive attitude towards the GP, visit the GP more often. The outcome that urban residents visit their GP more often than rural inhabitants partly (30%) has its origins in the fact that city-dwellers receive more social support and experience more lack of support. Attitude on the other hand, does noet affect urban-rural differences in GP visits, because almost no urban-rural differences in attitude are found.
CONCLUSIONS. Urban residents report receiving more social support than rural residents, but are also more displeased with the amount of support they receive. Both these characteristics of urbanites increase their GP visits. Attention fo this pattern is expedient, to avoid needless use of GP care by urban residents. (aut.ref.)
BACKGROUND. Urban residents tend to use more health care services than rural inhabitants do. AIM. We explore the contribution of social support and people's attitude towards their GP to the explanation of urban-rural differences in the use of GP care. METHODS. The second Dutch National Survey of General Practice was carried out in 2000 and 2001 covering 104 GP practices containing 195 GPs. A random selection from the listed patients of participating practices was interviewed concerning self-perceived health, health care utilisation and related factors (65% response). For this study respondents in the age of 21 and older are selected (N=9.333). Logistic regression models are fit tot analyse the relation between urbanisation, social support, patient's attitude and the use of GP
care, adjusted for age, sex, education and self-perceived health. RESULTS. People living in (very)
highly urbanised areas visit the general practitioner 1.2 times more often than people living in
rural areas (p 0.024). The more social support people receive, the more often they visit their GP.
GP visits are also more frequent among people who report moderate or much lack of support compared with people who report little lack of support. People with a more positive attitude towards the GP, visit the GP more often. The outcome that urban residents visit their GP more often than rural inhabitants partly (30%) has its origins in the fact that city-dwellers receive more social support and experience more lack of support. Attitude on the other hand, does noet affect urban-rural differences in GP visits, because almost no urban-rural differences in attitude are found.
CONCLUSIONS. Urban residents report receiving more social support than rural residents, but are also more displeased with the amount of support they receive. Both these characteristics of urbanites increase their GP visits. Attention fo this pattern is expedient, to avoid needless use of GP care by urban residents. (aut.ref.)
care, adjusted for age, sex, education and self-perceived health. RESULTS. People living in (very)
highly urbanised areas visit the general practitioner 1.2 times more often than people living in
rural areas (p 0.024). The more social support people receive, the more often they visit their GP.
GP visits are also more frequent among people who report moderate or much lack of support compared with people who report little lack of support. People with a more positive attitude towards the GP, visit the GP more often. The outcome that urban residents visit their GP more often than rural inhabitants partly (30%) has its origins in the fact that city-dwellers receive more social support and experience more lack of support. Attitude on the other hand, does noet affect urban-rural differences in GP visits, because almost no urban-rural differences in attitude are found.
CONCLUSIONS. Urban residents report receiving more social support than rural residents, but are also more displeased with the amount of support they receive. Both these characteristics of urbanites increase their GP visits. Attention fo this pattern is expedient, to avoid needless use of GP care by urban residents. (aut.ref.)
Gegevensverzameling