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Factors affecting primary health care utilization.

A Grimsmo, H Siem

    Family Practice
    |September 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Need for medical care and self-care significantly influence doctor visits. Access to doctors impacts chronic and non-chronic illness consultations differently, with age also playing a role.

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    Area of Science:

    • Primary Health Care Research
    • Medical Sociology
    • Health Services Research

    Background:

    • Understanding factors influencing primary health care utilization is crucial for resource allocation and service design.
    • Previous research indicates a complex interplay of need, access, and socioeconomic factors in healthcare seeking behavior.

    Purpose of the Study:

    • To identify key determinants of primary health care utilization in a Norwegian population.
    • To examine the influence of perceived need, self-care practices, doctor availability, sociodemographic, and social network factors on doctor visits.

    Main Methods:

    • A one-stage random probability sample of 5806 individuals from Norway was surveyed.
    • Data collected included information on illness, medication use, self-treatment, and doctor visits within a two-week period.

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  • Multiple classification analysis was employed to assess the impact of various factors on healthcare utilization.

    • Main Results:

    • The strongest predictors of doctor visits were the need for medical care and self-care practices.
    • Doctor availability had differential effects: difficulties accessing care reduced consultations for non-chronic conditions but increased them for chronic ones.
    • Increasing age correlated with higher utilization, except for a notable drop in consultation rates after age 85, despite increased illness.

    Conclusions:

    • Perceived need for care and self-care are paramount in driving primary health care utilization.
    • The relationship between doctor accessibility and healthcare seeking is nuanced, varying by illness chronicity.
    • Age is a significant factor, but utilization patterns change in advanced age, warranting further investigation.