The mental health of doctor-shoppers: experience from a patient-led fee-for-service primary care setting. - Archive ouverte HAL Access content directly
Journal Articles Journal of Affective Disorders Year : 2011

The mental health of doctor-shoppers: experience from a patient-led fee-for-service primary care setting.

(1) , (1) , (2) , (1, 3) , (1, 4) , (1, 5)
1
2
3
4
5

Abstract

BACKGROUND: Doctor-shopping may reflect unmet patient needs and places a significant burden on health resources; however little is known about its underlying reasons and how it relates to mental illness and its recognition in an open access fee-for-service setting. METHODS: In 2003-2004, consecutive patients of 46 French general practitioners (GPs), completed in the waiting room the self-report Patient Health Questionnaire and reported on service use in the past six months. During the consultation, GPs rated the severity of any physical and psychiatric disorders. RESULTS: Of 1079 patients, those rated by the GP as having a common mental disorder were significantly more likely to be doctor-shoppers but only if visiting another GP because of dissatisfaction with previous care (OR=2.3, 95% CI: 1.4-3.7). A similar trend is observed for those identified as having a common mental disorder by the Patient Health Questionnaire. Among patients with a common mental disorder, 'dissatisfied' doctor-shoppers were significantly more likely to be recognised as cases by the GP, adjusting for covariates (OR=6, 95% CI: 2.1-17.2). This was not the case for those doctor-shopping for practical reasons alone. CONCLUSION: Doctor-shopping behaviour is associated with higher rates of mental illness and, among cases, an increased likelihood of recognition by the GP, only however for doctor-shoppers dissatisfied with previous care. This suggests a benefit to letting patients choose their GP as is the case in France and change if not satisfied.
Fichier principal
Vignette du fichier
Norton_J_Aff_Dis_131_428.pdf (156.33 Ko) Télécharger le fichier
Origin : Files produced by the author(s)
Loading...

Dates and versions

inserm-00618015 , version 1 (31-08-2011)

Identifiers

Cite

Joanna L. Norton, Guilhem de Roquefeuil, Michel David, Jean-Philippe Boulenger, Karen A. Ritchie, et al.. The mental health of doctor-shoppers: experience from a patient-led fee-for-service primary care setting.. Journal of Affective Disorders, 2011, 131 (1-3), pp.428-32. ⟨10.1016/j.jad.2010.12.009⟩. ⟨inserm-00618015⟩
172 View
275 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More