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Family physician-patient relationship and frequent attendance of primary and specialist health care: Results from a German population-based cohort study.

Abstract：

OBJECTIVE:To investigate the association between the quality of the family physician-patient relationship and frequent attendance of primary and specialist health care. METHODS:Cross-sectional survey of a representative German population sample (N=2.266). Family physician-patient relationship was assessed with the Patient Doctor Relationship Questionnaire (PDRQ-9). Determinants of frequent attendance were analyzed using logistic regression. RESULTS:Frequent attendance of family physicians was associated with lower income (OR 1.43, 95% CI 1.02-2.00), not being in paid work (OR 1.58, CI 1.08-2.30), psychological distress (OR 1.14, CI 1.07-1.22), somatic symptoms (OR 1.07, CI 1.04-1.11), and physical comorbidity (OR 1.54, CI 1.36-1.74) in the multivariate analysis. Frequent attendance of specialists was related to psychological distress (OR 1.12, CI 1.04-1.20), somatic symptoms (OR 1.08, CI 1.04-1.11), and physical comorbidity (OR 1.69, CI 1.48-1.93) in the multivariate analysis. Quality of the relationship was associated with frequent attendance only in the univariate analyses. A stronger relationship with the family physician was not associated with reduced contact with specialists. CONCLUSIONS:The quality of the family physician-patient relationship is not independently associated with frequent attendance. PRACTICE IMPLICATIONS:Family physicians should be aware that need factors, i.e. symptom burden and physical comorbidities, are main drivers of frequent attendance.

journal_name

Patient Educ Couns

journal_title

Patient education and counseling

authors

Dinkel A,Schneider A,Schmutzer G,Brähler E,Häuser W

doi

10.1016/j.pec.2016.02.009

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

1213-1219

issue

7

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(16)30070-2

journal_volume

99

pub_type

杂志文章

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