Abstract:
Background:The reason why patients contact a care provider, the reason for encounter (RFE), reflects patients' personal needs and expectations regarding medical care. RFEs can be symptoms or complaints, but can also be requests for diagnostic or therapeutic interventions. Objectives:Over the past 30 years, we aim to analyse the frequency with which patients consult a GP to request an intervention, and to analyse the impact of these requests on the subsequent diagnostic process. Methods:We included all patients with a request for diagnostics, medication prescription or referral from 1985 to 2014. We analysed the number of requests, granted requests and interventions originating from a request. We compared the final diagnosis (symptom or disease diagnosis) between patients with and without a request. Design and Setting:This is a retrospective cohort study with data from Family Medicine Network, a Dutch primary healthcare registration network. Results:Over time, patients more often present to their GP with a request for intervention. GPs are increasingly compliant with these requests. Patients presenting with a request for intervention are more likely to be diagnosed with a symptom rather than a disease. Conclusion:This study provides insight into the changes in patients' and GPs' behaviour and patients' influence on the medical process, and confirms the clinical relevance of the RFE. This study could support GPs in daily practice when deciding whether or not to grant a request.
journal_name
Fam Practjournal_title
Family practiceauthors
van den Broek J,van Boven K,Bor H,Uijen AAdoi
10.1093/fampra/cmy031subject
Has Abstractpub_date
2018-12-12 00:00:00pages
724-730issue
6eissn
0263-2136issn
1460-2229pii
4986401journal_volume
35pub_type
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