Elnegaard Sandra, Pedersen Anette Fischer, Sand Andersen Rikke, Christensen René de-Pont, Jarbøl Dorte Ejg
PhD Student, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Associate Professor, MSc, Research Unit for General Practice, Danish Research Centre for Cancer Diagnosis in Primary Care (CaP), Department of Public Health, Aarhus University, Aarhus, Denmark.
BJGP Open. 2017 Apr 5;1(2):bjgpopen17X100761. doi: 10.3399/bjgpopen17X100761.
The decision process of whether or not to contact the GP is influenced by different factors which have not all been well examined.
The aim of this study was to analyse whether contact to the GP is associated with concern about the symptom, influence on daily activities and symptom burden, such as the total number of symptoms experienced by each person in a general population.
DESIGN & SETTING: This Danish nationwide cross-sectional study comprises a random sample of 100 000 people, representative of the adult Danish population ≥20 years.
Baseline data were collected in a web-based survey conducted from June to December 2012.
In total 49 706 (52.5%) individuals answered the questionnaire; 45 483 (91.5%) individuals experienced at least one of 44 predefined symptoms during the 4 weeks preceding the completion of the questionnaire. They reported 268 772 symptom experiences of which 58 370 symptoms (21.7%) resulted in contact with a GP. A high level of concern and influence on daily activities was associated with significantly higher odds for GP contact. A high burden of symptoms was associated with lower odds of contact with the GP.
Approximately every fifth symptom reported by individuals from the general population leads to GP contact. Influence on daily activities, burden of symptoms, and concern about the symptom were significant factors associated with the decision of whether to contact the GP. No overall association between sex and GP contact was observed.
是否联系全科医生的决策过程受到不同因素的影响，而这些因素并未全部得到充分研究。
本研究的目的是分析联系全科医生是否与对症状的担忧、对日常活动的影响以及症状负担相关，例如普通人群中每个人经历的症状总数。
这项丹麦全国性横断面研究包括从100,000人中随机抽取的样本，代表年龄≥20岁的丹麦成年人口。
2012年6月至12月通过网络调查收集基线数据。
共有49,706人（52.5%）回答了问卷；45,483人（91.5%）在完成问卷前的4周内经历了44种预先定义症状中的至少一种。他们报告了268,772次症状经历，其中58,370次症状（21.7%）导致联系了全科医生。高度的担忧和对日常活动的影响与联系全科医生的显著更高几率相关。高症状负担与联系全科医生的较低几率相关。
普通人群中个体报告的症状约每五个中就有一个会导致联系全科医生。对日常活动的影响、症状负担以及对症状的担忧是与是否联系全科医生的决策相关的重要因素。未观察到性别与联系全科医生之间的总体关联。
