516_cardol2.ps, page 1-6 @ Normalize
نویسندگان
چکیده
Relative shortages in personnel and high workloads of GPs require strategies to reduce ‘inappropriate’ use of GPs’ care. From a GP’s viewpoint, a significant part of inappropriate demand for services is generated by consultations for minor ailments. In a British study, many GPs expressed frustration at the level of minor ailment workload. Minor ailments are self-limiting and can be relieved with over-the-counter medication or other self-care strategies. Nonetheless, some patients decide to consult their GP for minor ailments whereas others do not. Variation in help-seeking behaviour is most pronounced among self-limiting health ailments, such as a sore throat or headache. Differences in helpseeking behaviour can be explained by three factors: medical need (morbidity), enabling factors (access to care, individual resources), and predisposing factors (demographic, social structure, health beliefs, psychological attributes). The ‘health belief model’ further focuses on these predisposing factors in relation to the use of care. According to this model, patients’ perceived vulnerability, beliefs about the benefits of care and barriers to care are important factors influencing medical help-seeking and satisfaction with care. High users of health care are more likely to adopt a ‘doctor knows best’ attitude; they perceive themselves as having less control of their own health. Entrenched beliefs about the benefits of health care are associated with older age, lower M Cardol, FG Schellevis, P Spreeuwenberg and EH van de Lisdonk
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696_williams2.ps, page 1-8 @ Normalize
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