Evidence map›Paper›PMID 32295790›Full record

ArticleBJGP open2020

Tendency to contact general practice instead of self-care: a population vignette study.

Alicia O'Cathain, Rebecca Simpson, Miranda Phillips, Jon M Dickson

Abstract read
In one paragraph

Article in BJGP open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
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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

4 authors.

Alicia O'CathainSchool of Health and Related Research, University of Sheffield, Sheffield, UK a.ocathain@sheffield.ac.uk.ORCID http://orcid.org/0000-0003-4033-506X
Rebecca SimpsonSchool of Health and Related Research, University of Sheffield, Sheffield, UK.
Miranda PhillipsNatCen Social Research, London, UK.
Jon M DicksonThe Academic Unit of Primary Medical Care, The Medical School, University of Sheffield, Sheffield, UK.ORCID http://orcid.org/0000-0002-1361-2714

Funding

Department of Health 15/136/12
6 · The paper itself

Abstract

backgroundDemand for general practice in the UK is higher than supply. Some patients seek appointments with GPs for minor illnesses rather than self-care.

aimTo identify the characteristics of people with a tendency to contact GPs rather than self-care. DESIGN &

settingA national survey of the British adult population was undertaken in 2018, which included vignettes.

methodTwo vignettes focused on illness in adults: half of responders completed a vignette about cough and sore throat for 3 days, and the other half completed a vignette about diarrhoea and vomiting for 2 days. Logistic regression was undertaken to identify characteristics associated with contacting GPs compared with dealing with the problem themselves, calling NHS 111, or contacting another service, including a pharmacist.

resultsThe response rate was 42%, with 2906 responders. Responders were twice as likely to select 'contact GP' for the diarrhoea and vomiting vignette than for the cough and sore throat vignette (44.7% versus 21.8%). Factors associated with tendency for GP contact included being aged >75 years (odds ratio [OR] 2.0, 95% confidence interval [CI] = 1.2 to 3.2); from black, Asian and minority ethnic (BAME) communities (OR 2.1, 95% CI = 1.5 to 3.0); feeling overwhelmed by unexpected health problems (OR 1.4, 95% CI = 0.99 to 2.1); lower health literacy (OR 1.2, 95% CI = 1.0 to 1.4); and believing that general practice is not overused (OR 1.3, 95% CI = 1.1 to 1.7).

conclusionType of symptom, personal characteristics, and population beliefs about general practice utilisation explain the tendency to contact GPs for minor illness amenable to self-care.

Indexed as

general practicehealthcare utilisationhealth surveysheathcare-seeking behaviourpatients

Identifiers

PMID32295790
PMCPMC7330217

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LicenceCC BY
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Registered trials

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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.