Why do men go to the doctor? Socio-demographic and lifestyle factors associated with healthcare utilisation among a cohort of Australian men

Schlichthorst, Marisa; Sanci, Lena; Pirkis, Jane; Spittal, Matthew J; Hocking, Jane S

doi:10.1186/s12889-016-3706-5

Cited by 92 publications

(88 citation statements)

References 51 publications

(30 reference statements)

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“…They probably do not reach those most at risk of financial problems. Lower representation of men in the GP population is in line with previous research [19][20][21] and with research on younger people's healthseeking behaviour [22,23].…”

Section: Discussionsupporting

confidence: 88%

Should GPs ask patients about their financial concerns? Exploration through collaborative research

Ose

Kaspersen

et al. 2020

Scandinavian Journal of Primary Health Care

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Objective: Health services should arguably be concerned about the financial situation of patients since health problems can cause financial concerns, which in turn can cause health problems. In this study, we explored the role of the general practitioner (GP) as a potential early discoverer of financial problems who can refer at-risk patients to financial counselling services. Design: A collaborative health service research experiment. For four weeks, GPs asked their patients predefined questions about financial concerns and health, by anonymous data mapping. GPs shared their experiences with the researchers after the experiment. Setting: One GP office in Norway. Subjects: A total of 565 patients were included in data mapping by 8 GPs. Main outcome measures: Patient prevalence data and GPs experimental data of patients' health problems that caused financial concerns and financial concerns that affected patients' health. Results: Of 565 GP patients, 11% (n ¼ 63) indicated that they had health problems causing them financial concerns, or vice versa; 9% of patients reported health problems causing financial concerns and 8% of patients reported financial concerns that affected their health. Through the data mapping experiment GPs became aware of financial concerns of their patients and by this expanded and improved their therapeutic toolbox. Several months after the experiment the GPs reported that more patients received financial counselling since the GPs asked their patients about financial problems more often than before and because the patients had heard that GPs cared about such problems. Conclusion: Our results suggest that GPs can be early discoverers of financial problems interacting with their patients' health. When there are no clear medical explanations for the health problems that prompted the consultation, the best therapy may thus be financial counselling. KEY POINTS Many people live on the edge of financial ruin and struggle to keep track of their finances, but limited research exists that investigates associations between finance and health. In a collaborative health services research experiment 11% of the patients at a Norwegian GP office had health problems that caused them financial concerns, or vice versa. GPs found it helpful to ask patients about their financial concerns when no clear medical explanations for their health problems was found. Then free financial counselling services could be offered.

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Section: Discussionsupporting

confidence: 88%

Should GPs ask patients about their financial concerns? Exploration through collaborative research

Ose

Kaspersen

et al. 2020

Scandinavian Journal of Primary Health Care

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“…In Australia, a high proportion of the population (86%) attend at least one GP consultation annually [11]. However, men and those living in rural and remote communities are less likely to use health services and attend regular health check-ups [12]. As such these groups may miss out on important preventive health care opportunities and health education and support.…”

Section: Introductionmentioning

confidence: 99%

How is health literacy addressed in primary care? Strategies that general practitioners use to support patients

Lausen

Smith

Cai

et al. 2018

Journal of Communication in Healthcare

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Background: Low health literacy is associated with adverse health outcomes and raised healthcare costs. General practitioners (GPs) are the first point of access to health care services and play a key role in building patients' health literacy. This study aimed to explore: 1) GPs' understandings of health literacy, 2) the perceived challenges to addressing health literacy, and 3) the strategies used to support people with health literacy difficulties. Method: A qualitative study in South Western Sydney, New South Wales, Australia. Semistructured qualitative interviews were audio-recorded and transcribed verbatim. Interview data was analyzed using the Framework method, a matrix-based approach to thematic analysis. Results: Eighteen participants took part in the study. Four key themes were identified: 1) identifying patients with health literacy difficulties; 2) perceived consequences of low health literacy; 3) being sensitive to developing health literacy skills and; 4) strategies used to build health literacy. Intuitive skills were used to identify patient's health literacy skills through recurring encounters with patients over time. A range of communication techniques were used to build health literacy. The value of a long-term relationship with patients, and support from relatives, seem to be important in helping patients to build their health literacy skills. Conclusions: A number of barriers may hinder building patient health literacy in general practice. An increased focus on the significance of health literacy, educationally and clinically across the entire health system can be a solution to overcome these barriers.

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“…Ожирение среди женщин -один из самых ресурсоемких ФР, вносящий значимый вклад в повышенное использование всех видов медицинской помощи и также увеличивает вероятность наступления ВН и частоту вызовов СМП, в то время как мужчинам с ожирением с большей вероятностью потребуется стационарная помощь, и значимо возрастает число случаев ВН. Распространение ожирения способствуют увеличению нагрузки на систему здравоохранения, что подтверждается результатами крупных исследований [23,25,26].…”

Section: Discussionunclassified

Association of the Level Healthcare Resource Consumption and Frequency of Temporary Disability Cases with Cardiovascular Risk Factors Based on Data of Population Study in Russian Federation

Суворова¹,

Kontsevaya²,

Шальнова³

et al. 2020

Racionalʹnaâ farmakoterapiâ v kardiologii

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Aim. To analyze the associations of health care system resources utilization and temporary disability (TD) with the main cardiovascular risk factors (RF) at the population and individual level in working age population based on ESSE-RF study data.Material and methods. The analysis was based on ESSE-RF study data. Standard epidemiological survey methods and evaluation criteria were used. Analysis of probability and number of outpatient visits, hospitalizations, ambulance calls and TD was conducted by using hurdle model. Hypertension, obesity, hypercholesterolemia, hyperglycemia and tobacco consumption were independent variables.Results. A total of 21923 individuals aged 25-64 years were included: men – 8373 (38%) and women – 13550 (62%). The probability of outpatient visits significantly determined in group with tobacco consumption and with hypercholesterolemia for men, and for women – in the smoking group, with obesity and with hyperglycemia. Numbers of outpatient visits has doubled for patient with hyperglycemia. The numbers of outpatient visits were higher among women smokers compared to non-smokers. Chance to be hospitalized significantly associate with smoking, obesity, hypercholesterolemia for men and with obesity, hyperglycemia – for women. Hypercholesterolemia was associated with a smaller number of inpatient treatment cases among men. The probability of ambulance calls increased for smoking men, for male group with hypertension, hypercholesterolemia, obesity and with hyperglycemia, at the same time, the likelihood increased in female group with hypertension, hyperglycemia, smoking and with obesity. In addition, numbers of ambulance calls were higher in 1.55 times for women with obesity (p<0.05).Conclusion. So, there is a significant association of probability of using and consumption level of healthcare recourse with the RF depending on the type of medical care, sex and RF.

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Why do men go to the doctor? Socio-demographic and lifestyle factors associated with healthcare utilisation among a cohort of Australian men

Cited by 92 publications

References 51 publications

Should GPs ask patients about their financial concerns? Exploration through collaborative research

Should GPs ask patients about their financial concerns? Exploration through collaborative research

How is health literacy addressed in primary care? Strategies that general practitioners use to support patients

Association of the Level Healthcare Resource Consumption and Frequency of Temporary Disability Cases with Cardiovascular Risk Factors Based on Data of Population Study in Russian Federation

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