Health Perceptions of Primary Care Patients and the Influence on Health Care Utilization

Connelly, Julia E.; Philbrick, John T.; Smith, Gary; Kaiser, Donald L.; Wymer, Antoinette

doi:10.1097/00005650-198903001-00009

Cited by 156 publications

(64 citation statements)

References 10 publications

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“…The utilisation and subsequent demand on health services are influenced by patients' perceptions of their health care options (Connelly et al 1989). Therefore, the results of the present study suggest that many individuals with lifestyle-related chronic disease are likely to consult GP for nutrition care in preference to other Australian health professionals.…”

Section: Discussionmentioning

confidence: 81%

“…Patients have been described as 'consumers' of health care (Hall and Schneider 2008), and their perceptions have been shown to drive the utilisation and subsequent demand on health care services (Connelly et al 1989). Patients' perceptions of health care are receiving increased attention (Stewart 2001), and are a focus of the current Australian healthcare reform (National Health and Hospitals Reform Commission 2009).…”

Section: Introductionmentioning

confidence: 99%

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An exploration of individuals’ preferences for nutrition care from Australian primary care health professionals

Ball

Desbrow

Leveritt

2014

Aust. J. Prim. Health

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Abstract. This qualitative study explored individuals' preferences regarding the provision of nutrition care from Australian health professionals and the factors influencing their preferences. Thirty-eight individuals aged 53 AE 8 years, living with a lifestyle-related chronic disease or risk factor for lifestyle-related chronic disease, participated in a semistructured telephone interview. Participants were asked questions regarding their perceptions of which Australian health professionals provide nutrition care, their preferences for this care and the factors influencing their preferences. Interviews were transcribed verbatim and analysed thematically using a constant-comparison approach. General practitioners were the most recognised health professional that provided nutrition care to patients, followed by dietitians. General practitioners were regarded by most participants as the preferred provider of nutrition care because they were perceived to provide trustworthy and personalised nutrition care. Participants reported confusion regarding the professional differences between dietitians and nutritionists, and appealed for more information to be available to individuals that are considering consulting an Australian health professional for nutrition care. The findings of this study suggest that general practitioners are the preferred providers of nutrition care for many individuals living with a lifestyle-related chronic disease. Considering the increasing presentation of patients with lifestyle-related chronic disease in general practice, it is anticipated that the demand on general practitioners to provide nutrition care to patients will increase in the future.

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Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

An exploration of individuals’ preferences for nutrition care from Australian primary care health professionals

Ball

Desbrow

Leveritt

2014

Aust. J. Prim. Health

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“…In the studies, it was found out that those with a poor perceived health saw the doctors more; had more medical consultations on the phone, were hospitalized more and were examined more by a private doctor. 34,[40][41][42][43][44] In the literature, as a result, several studies demonstrated that self-rated health was an important predictor of health services utilization. 6,7,32,41,43 In our research, the presence of chronic disease was the second determinant factor for health service utilization after marital status, and increased the applications 2.5 times more (Table 4).…”

Section: Ci: Confidence Intervalmentioning

confidence: 99%

Factors Associated with Health Services Utilization by the General Population in the Center of Kayseri, Turkey

Şenol¹,

Çetinkaya²,

Balcı³

2010

Turkiye Klinikleri J Med Sci

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A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Pre vi o us stu di es ha ve re ve a led the so ci al, eco no mic, and psycho lo gi cal fac tors that inf lu en ce con sul ting be ha vi o ur; ho we ver the he alth ser vi ces uti li za ti on by the ge ne ral po pu la ti on are seldomly stu di ed. The aim of this study was to exa mi ne the le vel of he alth ser vi ces uti li za ti on and the ef fects of pre dis po sing, enab ling, and ne ed fac tors on Tur kish ge ne ral po pu la ti on. M Ma at te er ri ia al l a an nd d M Me et t h ho od ds s: : This cross-sec ti o nal study was per for med on se ven pub lic he alth cen ters (PHCs) which we re se lec ted among 21 PHCs in the cen ter of Kay se ri bet we en 2005 and 2006. The study po pu la ti on was com pri sed of 1880 ho use hold mem bers who we re se lec ted by a stra ti fi ed ran dom samp ling met hod. Ho u se hold mem bers we re inter vi e wed with a fa ce-to-fa ce met hod in the ir ho mes by me ans of a qu es ti on na i re. Pre dic tors of he alth ser vi ces uti li za ti on inc lu ded pre dis po sing, enab ling, and ne ed fac tors. The qu an ti ta ti ve va ri ab les we re summa ri zed as me ans ± stan dard de vi a ti ons. Com pa ri sons ma de among the gro ups we re per for med using in depen dent samp les t-test and one-way analy sis of va ri an ce (ANO VA). Mul tip le li ne ar reg res si on analy sis was used to mo del the ef fects of pre dic tor-fac tors spe ci fi ed in the An der sen Mo del of he alth ser vi ces uti li za tion. R Re e s su ul lt ts s: : In the last ye ar, ra te of he alth ser vi ces uti li za ti on was 79.6% and the me an vi sit num ber was 5.0 ± 5.4. The ra te of app li ca ti ons to the sta te hos pi tals was hig her (49.9%) than tho se of pri va te me di cal ins ti tu ti ons (13.2%). Pre dis po sing fac tors: Be ing mar ri ed 4.9 ti mes, be ing ma le 1.9 ti mes; enab ling fac tors: Ab sen ce of so ci al in su ran ce co ve ra ge 2.2 ti mes, suf fi ci ent monthly in co me 2.4 ti mes and clo se ness (< 500 met ers) 1.7 ti mes; ne ed fac tors: Po or per cep ti on he alth 1.7 ti mes and pre sen ce of chro nic di se a se 2.5 ti mes, ha ve a hig her pro ba bi lity of using the he alth ser vi ces. C Co on nc c l lu u s si i o on n: : Be ing mar ri ed, ha ving a go od fa mily inco me and chro nic di se a se we re the most im por tant pre dic tors on uti li za ti on of he alth ser vi ces. Ha ving poor per ce i ved he alth was al so mo re clo sely as so ci a ted with he alth ser vi ces uti li za ti on. K Ke ey y W Wo or rd ds s: : He alth ser vi ces mi su se; ca u sa lity; he alth sta tus Ö ÖZ ZE ET T A Am ma aç ç: : Da ha ön ce ya pı lan ça lış ma lar da baş vu ru dav ra nı şı nı sos yal, eko no mik ve psi ko sos yal fak tör lerin et ki le di ği gös te ril miş, an cak ge nel po pü las yon da sağ lık hiz me ti kul la nı mı üze rin de na di ren du rul muş tur. Bu ça lış ma nın ama cı ge nel po pu las yon da sağ lık hiz me ti kul la nım dü ze yi ni, ha zır la yı cı, ko lay laş tı rı cı ve gerek si nim fak tör le ri nin et ki le ri ni in ce le...

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“…Poor HRQL has been associated with higher mortality (Ries et al, 1995) and a greater use of health care services (Connelly et al, 1989;Siu et al, 1993). In addition to their impact on physical health status, heavy alcohol use, HCV infection and illicit drug use have each been shown to negatively affect HRQL (Donovan et al, 2005;Foster et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Costenbader

Zule

Coomes

2007

Drug and Alcohol Dependence

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Background-Heavy alcohol use, hepatitis C and illicit drug use each have been shown to have negative impacts on health-related quality of life (HRQL). To date, considerations of HRQL have not played a prominent role in the design and measurement of intervention strategies for out-oftreatment at-risk populations.Methods-Data were collected from out-of-treatment IDUs recruited through street outreach in North Carolina. Multiple linear regression analyses were used to examine the independent effects of HCV status, harmful drinking (AUDIT), and illicit drug use on HRQL (SF-36).Results-Fifty-one percent of 619 study participants tested HCV-positive; 57% met criteria for harmful or hazardous drinking and 63% reported daily use of hard drugs. HRQL scores for this population were significantly lower than those of the general population. Multiple linear regression analyses demonstrated that harmful levels of alcohol consumption and use of methamphetamine in the past month had the strongest associations with reduced HRQL.Conclusions-Given the high rates of HCV in most IDU communities, new harm reduction approaches are needed for these populations which focus beyond prevention to the functioning and well-being of those already infected. In particular, reducing heavy alcohol use in addition to slowing HCV progression shows promise for improving HRQL.

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Health Perceptions of Primary Care Patients and the Influence on Health Care Utilization

Cited by 156 publications

References 10 publications

An exploration of individuals’ preferences for nutrition care from Australian primary care health professionals

An exploration of individuals’ preferences for nutrition care from Australian primary care health professionals

Factors Associated with Health Services Utilization by the General Population in the Center of Kayseri, Turkey

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

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