[The work load of family physicians in deprived neighborhoods in Amsterdam: do their patients com more often?].
OBJECTIVE
To determine whether residents from deprived Amsterdam neighbourhoods report more contacts with their general practitioner (GP) than other residents.


METHODS
Face-to-face health interview survey.


METHODS
Amsterdam.


METHODS
Data on two previous months' contacts with GPs and on background characteristics came from a survey among Amsterdam residents aged 16 years and above (n = 5,121; response: 61.4%). Deprived neighbourhoods were defined as having low mean incomes and high unemployment rates.


RESULTS
Residents with a private health insurance from deprived neighbourhoods contacted their GPs significantly less frequently. The contact frequency of persons with compulsory health insurance depended on the definition of deprived neighbourhood: with the preferred definition they contacted their GPs more frequently (0.31/year, 0.49 adjusted for age and gender). This higher contact rate was partially connected with family composition, country of birth, occupational status and chronic psychiatric complaints.


CONCLUSIONS
Quantitatively, residents from deprived Amsterdam neighbourhoods contribute relatively little to the higher workload of Amsterdam GPs; this study gave no information on qualitative aspects. However, Amsterdam residents with compulsory health insurance appeared to visit their GPs more frequently than the Dutch average, and those from deprived neighbourhoods even 9% more.
D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D000704:Analysis of Variance; D003467:Cultural Deprivation; D005194:Family Practice; D005260:Female; D006801:Humans; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D012959:Socioeconomic Factors; D014505:Urban Population
De werklast van huisartsen in achterstandsbuurten in Amsterdam: komen hun patiënten vaker?