Table 4

Associations between low impact consulters and high impact non-consulters and views on managing symptoms (age and sex adjusted odds ratios)

Symptom management factors

Low impact consulters

High impact non-consulters


Odds ratio (95% CI)

p-value

Odds ratio (95% CI)

p-value


Nijmegen Expectation

Questionnaire ^

Quartile 1 (lowest scores)

1.00

1.00

Quartile 2

1.75 (0.97 to 3.16)

0.062

1.24 (0.93 to 1.66)

0.139

Quartile 3

2.29 (1.32 to 3.98)

0.003

1.24 (0.93 to 1.64)

0.142

Quartile 4 (highest scores)

2.78 (1.59 to 4.86)

< 0.001

1.51 (1.13 to 2.02)

0.006


My previous experience

of a symptom

Not important

1.00

1.00

Important

1.02 (0.36 to 2.89)

0.969

0.94 (0.53 to 1.68)

0.845


Other people's experiences

of a symptom

Not important

1.00

1.00

Important

1.08 (0.75 to 1.54)

0.684

1.14 (0.93 to 1.40)

0.214


My knowledge/beliefs about

a symptom

Not important

1.00

1.00

Important

0.53 (0.27 to1.08)

0.079

0.97 (0.59 to1.60)

0.916


Feeling a symptom wouldn't be

viewed as important by others

Not important

1.00

1.00

Important

1.18 (0.83 to 1.69)

0.350

1.34 (1.09 to 1.64)

0.005


Feeling able to deal with

a symptom myself

Not important

1.00

1.00

Important

0.65 (0.29 to 1.47)

0.304

0.96 (0.56 to 1.63)

0.872


Feeling that I need reassurance or

advice from a health professional

Not important

1.00

1.00

Important

2.61 (1.39 to 4.91)

0.003

1.09 (0.84 to 1.42)

0.506


Feeling that I don't want to

waste the GP's time

Not important

1.00

1.00

Important

0.99 (0.66 to 1.50)

0.976

1.60 (1.25 to 2.05)

< 0.001


My knowledge about healthcare

services and medicines

Not important

1.00

1.00

Important

1.53 (0.89 to 2.64)

0.126

1.01 (0.77 to 1.32)

0.963


My attitudes/beliefs about

healthcare services and medicines

Not important

1.00

1.00

Important

0.93 (0.62 to 1.38)

0.705

1.11 (0.88 to 1.40)

0.373


My previous experience of

healthcare services and medicines

Not important

1.00

1.00

Important

1.21 (0.76 to 1.92)

0.429

1.35 (1.05 to 175)

0.020


Other people's experiences of

healthcare services and medicines

Not important

1.00

1.00

Important

0.96 (0.67 to 1.37)

0.815

1.37 (1.12 to 1.68)

0.002


The cost of using a particular

healthcare service or treatment

Not important

1.00

1.00

Important

1.11 (0.78 to 1.57)

0.576

1.16 (0.95 to 1.42)

0.140


The length of time I have

to wait to get treatment

Not important

1.00

1.00

Important

1.03 (0.68 to 1.55)

0.898

1.24 (0.98 to 1.58)

0.076


Availability of resources like

transport and childcare

Not important

1.00

1.00

Important

0.87 (0.61 to 1.24)

0.449

1.52 (1.24 to 1.86)

< 0.001


Information or advice

appearing in the media

Not important

1.00

1.00

Important

1.08 (0.76 to 1.53)

0.671

0.99 (0.81 to 1.21)

0.922


† Referent group

Figures highlighted are significant at 5% level (p < 0.05)

^ Where lower scores represent a belief that self-care is better than GP treatment for common symptoms and higher scores represent a belief that GP treatment is better than self-care for common symptoms

Elliott et al. BMC Family Practice 2012 13:21   doi:10.1186/1471-2296-13-21

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