To identify the socioeconomic determinants of consultation rates in general practice.
Design-Analysis of data from the fourth national morbidity survey of general practices (MSGP4) including sociodemographic details of individual patients and small area statistics from the 1991 census.
Multilevel modelling techniques were used to take account of both individual patient data and small area statistics to relate socioeconomic and health status factors directly to a measure of general practitioner workload.
Higher rates of consultations were found in patients who were classified as permanently sick, unemployed (especially those who became unemployed during the study year), living in rented accommodation, from the Indian subcontinent, living with a spouse or partner (women only), children living with two parents (girls only), and living in urban areas, especially those living relatively near the practice.
When characteristics of individual patients are known and controlled for the role of « indices of deprivation » is considerably reduced.
The effect of individual sociodemographic characteristics were shown to vary between different areas.
Conclusions-Demographic and socioeconomic factors can act as powerful predictors of consultation patterns.
Though it will always be necessary to retain some local planning discretion, the sets of coefficients estimated for individual level factors, area level characteristics, and for practice groupings may be ...
Mots-clés Pascal : Morbidité, Homme, Etats Unis, Consultation privée, Médecin généraliste, Statut socioéconomique, Amérique du Nord, Amérique, Epidémiologie
Mots-clés Pascal anglais : Morbidity, Human, United States, Private consultation, General practitioner, Socioeconomic status, North America, America, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0234906
Code Inist : 002B30A01A2. Création : 199608.