[The utilization of health services and the motives for consultation as indicators of family dysfunction].
OBJECTIVE
To analyse the relationship between the reasons for seeking care on demand and use of the health services on the one hand and disturbances in the family dynamic, on the other, with an attempt to determine indicators of family dysfunction.


METHODS
Crossover descriptive study where the sample was obtained by systematic sampling. The family APGAR test was applied to the whole sample, along with an analysis of the use of services and the reasons for attendance.


METHODS
Almanjayar Health Centre during the first 6 months of 1992.


METHODS
356 patients over 18.


RESULTS
We confirmed that the likelihood of belonging to a dysfunctional family was 77%, with a risk of 6.5 for hyper and normal users. Regarding reasons for seeking care, those who attended because of ill-defined signs and symptoms are 6.21 times more likely to present a family dysfunction than the rest of those interviewed. Patients with ill-defined symptoms or psychiatric disorders who are hyper-users are 7.20 times more likely to present some family dysfunction.


CONCLUSIONS
It will be useful to carry out a study of family function among hyper-users, those who attend because of ill-defined signs and symptoms and people with mental health problems.
de la Revilla
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Centro de Salud de Almanjayar, Unidad Docente de Medicina Familiar y Comunitaria, Granada-Norte.
de los Ríos
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D000293:Adolescent; D000328:Adult; D003153:Community Health Services / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005190:Family / Q000523:psychology; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012940:Social Problems; D013030:Spain
La utilización de servicios de salud y los motivos de consulta como indicadores de disfunción familiar.