REASONS FOR CONSULTATION AND EXPLANATIONS OF ILLNESS AMONG FINNISH PRIMARY-CARE PATIENTS

被引:4
|
作者
PUNAMAKI, RL [1 ]
KOKKO, SJ [1 ]
机构
[1] NATL RES CTR SOCIAL WELFARE & HLTH, HELSINKI, FINLAND
关键词
D O I
10.1111/1467-9566.ep10934481
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The aim of this study is to describe triggers to consultation, and to further understanding of how patients construct explanations for what is wrong with them. Patients consulting a general practitioner were interviewed about the process that had led to their consultation and explanations for the causes of their illness. The results show that the factors which trigger professional consultation are related to the everyday demands of work, home and other people on the one hand, and to the interpretation of bodily symptoms on the other. Characteristically, symptom interpretation often involves a veiled dialogue with the tax-funded municipal health care system about a justification for the lay diagnosis. The results further show a domination of biomedical illness explanations among the patients studied. A third of the explanations concerned infectious, toxic and noxious agents, and a quarter constitutional defects in the body. Ten per cent were philosophical and metaphysical, and 16 per cent psychosocial in nature. The remainder were based on life style and risk behaviour, and on problems of medical care. The results are discussed from the standpoint of lay and professional models of explanation for illness.
引用
收藏
页码:42 / 64
页数:23
相关论文
共 50 条
  • [41] PATIENTS PERSPECTIVES - SUBJECTIVE RESPONSES IN A PRIMARY-CARE SETTING
    SULLIVAN, MJ
    MILITARY MEDICINE, 1994, 159 (03) : 230 - 232
  • [42] THE INVENTORY TO DIAGNOSE DEPRESSION (IDD) IN PRIMARY-CARE PATIENTS
    FROOM, J
    HERMONI, D
    FAMILY PRACTICE, 1993, 10 (03) : 312 - 316
  • [43] Burden of illness and satisfaction with care among patients with headache seen in a primary care setting
    Harpole, LH
    Samsa, GP
    Matchar, DB
    Silberstein, SD
    Blumenfeld, A
    Jurgelski, AE
    HEADACHE, 2005, 45 (08): : 1048 - 1055
  • [44] MANAGING PATIENTS WITH ALZHEIMERS - THE PRIMARY-CARE ROLE OF DENTISTS
    GOODMAN, HS
    ICKRATH, MC
    NIESSEN, LC
    JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 1993, 124 (05): : 75 - &
  • [45] Internet physician's offices:: main reasons for consultation and differences with Primary Care
    Martínez, AR
    Vegas, AA
    de Córdoba, JLDLF
    REVISTA CLINICA ESPANOLA, 2004, 204 (04): : 198 - 201
  • [46] DEPRESSIVE-DISORDERS IN JAPANESE PRIMARY-CARE PATIENTS
    MINO, Y
    AOYAMA, H
    FROOM, J
    FAMILY PRACTICE, 1994, 11 (04) : 363 - 367
  • [47] PRIMARY-CARE PHYSICIANS AFFECTIVE ORIENTATION TOWARD THEIR PATIENTS
    HORNUNG, CA
    MASSAGLI, M
    JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1979, 20 (01) : 61 - 76
  • [48] Treating COPD in Chronic Patients in a Primary-Care Setting
    Llauger Rosello, Maria Antonia
    Antonia Pou, Maria
    Dominguez, Leandra
    Freixas, Montse
    Valverde, Pepi
    Valero, Carles
    ARCHIVOS DE BRONCONEUMOLOGIA, 2011, 47 (11): : 561 - 570
  • [49] USE OF BENZODIAZEPINES IN PRIMARY-CARE GERIATRIC-PATIENTS
    PINSKER, H
    SULJAGAPETCHEL, K
    JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1984, 32 (08) : 595 - 597
  • [50] INTERVENTIONS AMONG PRIMARY-CARE PRACTITIONERS TO IMPROVE CARE FOR PREVENTABLE COMPLICATIONS OF DIABETES
    DEEB, LC
    PETTIJOHN, FP
    SHIRAH, JK
    FREEMAN, G
    DIABETES CARE, 1988, 11 (03) : 275 - 280