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Title: Social differences in postponing a General Practitioner visit in Flanders, Belgium: which low-income patients are most at risk?
Authors: Verlinde, E ×
Poppe, A
Desmet, A
Hermans, Koen
De Maeseneer, J
Van Audenhove, Chantal
Willems, S #
Issue Date: Jul-2013
Publisher: Blackwell Scientific Publications
Series Title: Health & Social Care in the Community vol:21 issue:4 pages:364-72
Article number: 10.1111/hsc.12027
Abstract: One of the main goals of primary care is providing equitable health-care, meaning equal access, equal treatment and equal outcomes of healthcare for all in equal need. Some studies show that patients from lower socioeconomic groups visit a GP more often, while other studies show that they are more likely to postpone a visit to a GP. In this study, we want to explore within the social group of low-income patients living in Flanders, Belgium, which patients have a higher risk of postponing a visit to a GP. A face-to-face questionnaire was administered among 606 low-income users of Public Social Services. The questionnaire consisted of questions on socioeconomic and demographic characteristics, social networks, health and healthcare use. A multivariate logistic regression model was built to study the relationship between postponing or cancelling a GP visit which respondents thought they needed and variables on health, socio-demographic background. The multivariate regression indicates that depression, self-rated health and trust in the GP independently predict postponing a visit to a GP. Low-income people with a low trust in the GP, people with a poor self-rated health and people suffering from a severe depression are more likely to postpone or cancel a GP visit they thought they needed compared to other people on low incomes. This might indicate that the access to health-care for low-income people might be hindered by barriers which are not directly linked to the cost of the consultation.
ISSN: 0966-0410
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Academic Center for General Practice
Centre for Sociological Research
LUCAS - Centre for Care Research and Consultancy
× corresponding author
# (joint) last author

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