ArticleBMC health services research2007
Health service utilization patterns of primary care patients with osteoarthritis.
Article in BMC health services research, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed.
- Exploring utilisation of knee and hip osteoarthritis healthcare services and its predictors: a scoping review.BMJ open · 2026Article
- Does psychological distress predict risk of orthopaedic surgery and postoperative opioid prescribing in patients with hip pain? A retrospective study.BMC musculoskeletal disorders · 2024Article
- Pain-Associated Psychological Distress Is of High Prevalence in Patients With Hip Pain: Characterizing Psychological Distress and Phenotypes.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Guideline adherent screening and referral: do third year Doctor of Physical Therapy students identify red and yellow flags within descriptive patient cases? a United States based survey study.The Journal of manual & manipulative therapy · 2023Article
- Psychological comorbidities in osteoarthritis in Germany.Scientific reports · 2023Article
- The relationship between patients' income and education and their access to pharmacological chronic pain management: A scoping review.Canadian journal of pain = Revue canadienne de la douleur · 2022Article
- Socioeconomic and Lifestyle Factors Related to Cost and Frequency of Hospitalization in European Older Adults.International journal of environmental research and public health · 2021Article
- Geospatial patterns of comorbidity prevalence among people with osteoarthritis in Alberta Canada.BMC public health · 2020Article
- Existing comorbidities in people with osteoarthritis: a retrospective analysis of a population-based cohort in Alberta, Canada.BMJ open · 2019Article
- Patient Characteristics, Treatment, and Presenting PROMIS Scores Associated with Number of Office Visits for Traumatic Hand and Wrist Conditions.Clinical orthopaedics and related research · 2019Article
- Social & psychological factors associated with oral analgesic use in knee osteoarthritis management.Osteoarthritis and cartilage · 2019Article
- Treatment Beliefs Underlying Intended Treatment Choices in Knee and Hip Osteoarthritis.International journal of behavioral medicine · 2018Article
- Neuropathic Pain after Shoulder Arthroplasty: Prevalence, Impact on Physical and Mental Function, and Demographic Determinants.Physiotherapy Canada. Physiotherapie Canada · 2018Article
- Examining Healthcare Utilization Patterns of Elderly Middle-Aged Adults in the United States.Proceedings of the ... International Florida AI Research Society Conference. Florida AI Research Symposium · 2016Article
- Anxiety and depression in patients with osteoarthritis: impact and management challenges.Open access rheumatology : research and reviews · 2016Article
- Article
- Association between Neuropathic Pain and Reported Disability after Total Knee Arthroplasty.Physiotherapy Canada. Physiotherapie Canada · 2015Article
- Productivity improvements in hip and knee surgery.Arthritis · 2014Article
- What influences patients with osteoarthritis to consult their GP about their symptoms? A narrative review.BMC family practice · 2013Review
- A prospective study of mental health care for comorbid depressed mood in older adults with painful osteoarthritis.BMC psychiatry · 2011Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo assess factors associated with visits to GPs, orthopaedists, and non-physician practitioners of complementary medicine (alternative practitioners) by primary care patients with osteoarthritis (OA).
methodsCross-sectional survey among 1250 consecutively addressed patients from 75 primary care practices in Germany. All patients suffered from OA of the knee or hip according to ACR criteria. They received questionnaires collecting sociodemographic data, data about health service utilisation, prescriptions, comorbidities. They also included established instruments as the Arthritis Impact Measurement Scale (AIMS2-SF) to assess disease-specific quality of life and the Patient Health Questionnaire (PHQ-9) to assess depression. Hierarchical stepwise multiple linear regression models were used to reveal significant factors influencing health service utilization.
results1021 of 1250 (81.6%) questionnaires were returned. Nonrespondents did not differ from participants. Factors associated with health service use (HSU) varied between providers of care. Not being in a partnership, achieving a high score on the PHQ-9, increased pain severity reflected in the "symptom" scale of the AIMS2-SF, and an increased number of drug prescriptions predicted a high frequency of GP visits. The PHQ-9 score was also a predictor for visits to orthopaedists, as were previous GP contacts, a high score in the "symptom" scale as well as a high score in the "lower limb scale" of the AIMS2-SF. Regarding visits to alternative practitioners, a high score in the AIMS -"social" scale was a positive predictor as older people were less likely to visit them.
conclusionOur results emphasize the need for awareness of psychological factors contributing to the use of health care providers. Addressing the revealed factors associated with HSU appropriately may lead to decreased health care utilization. But further research is needed to assess how this can be done successfully.
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