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  1. Low education, high GP consultation rates : The effect of psychosocial factors.

    Article - En anglais

    The purpose of this study was to estimate the contribution of psychosocial factors to the increased use of a general practitioner (GP) among those with a lower level of education.

    The use of GP services was elicited from survey data from 2867 respondents from the Dutch Longitudinal Study on Socio-Economic Differences in the Utilization of Health Services (LS-SEDUHS) using a simple « Yes/No » format.

    Psychosocial variables included long-term stressful conditions, social support, external locus of control, coping styles, and tendency to consult (a measure of people's propensity to go to a doctor with health problems).

    People with primary education used the GP services more than people with higher vocational training or a university degree (OR 1.87, p<0.05), adjusted for health status and health insurance.

    Only tendency to consult partially explained this difference (OR : 1.74, p>0.05).

    Most psychosocial factors do not seem very important in explaining high GP utilization rates among those with a low socioeconomic status.

    Alternative explanations are discussed.

    Mots-clés Pascal : Consultation, Médecin généraliste, Utilisation, Service santé, Statut socioéconomique, Niveau étude, Soin santé primaire, Stress, Support social, Contrôle externe interne, Coping, Organisation santé, Pays Bas, Europe, Homme

    Mots-clés Pascal anglais : Consultation, General practitioner, Use, Health service, Socioeconomic status, Education level, Primary health care, Stress, Social support, Locus of control, Coping, Public health organization, Netherlands, Europe, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0343567

    Code Inist : 002B30A05. Création : 27/11/1998.