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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0343567
Code Inist : 002B30A05. Création : 27/11/1998.