Evidence map›Paper›PMID 17669318›Full record

ArticleAtencion primaria2007

[Motives that condition use of the health services by over-users: study with focus groups].

Juan Antonio Guerra de Hoyos, Isidoro A de Anca Contreras

Abstract readComparative StudyEnglish Abstract
In one paragraph

Article in Atencion primaria, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Juan Antonio Guerra de HoyosMedicina de Familia, Medicina Interna, Distrito de Atención Primaria Sevilla, Departamento de Medicina Basada en la Evidencia, Sevilla, Spain. med010042@saludalia.com
Isidoro A de Anca Contreras

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMuch is known about the profile of over-users and the cost of their demands, but their personal views about the reasons for their behaviour have been little examined.

aimsTo identify the reasons over-users give for their behaviour.

designQualitative analysis of transcriptions of video-recorded focus group meetings.

settingTwo urban primary care clinics of the Andalusian Health Service in Seville, Spain.

participantsTwelve women and 15 men; 9 between 45 and 65 years old and 18 over 65. Average of 55 attendances at the health centre (HC) during the previous year. Group meetings were held in Seville between November 26, 2003 and December 12, 2003.

methodsInductive analysis of focus group interview transcriptions.

resultsMost over-users attend their HC because of perception of problems (psychological, physical) and their belief that they will find effective help from the health services. Factors such as their relationships with health staff or organisation of care are perceived as barriers or facilitators of health service use. Low family and social support are perceived as important factors in seeking help in primary care.

conclusionsHealth services should bear in mind these motives of over-users, on designing and introducing support systems to manage demand more rationally and effectively. These systems could be based on new technology (internet and telephone information and consulting) and the cooperation of other professionals, such as pharmacists or nurses.

Indexed as

Health Services MisuseHealth Services Needs and DemandAgedFemaleFocus GroupsHealth BehaviorHealth Services AccessibilityHumansMaleMiddle AgedPrimary Health CareSpain

Identifiers

PMID17669318
PMCPMC7664567

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.