Socio-economic status, chronic morbidity and health services utilization by families.
BACKGROUND
This study deals with the perception of the burden of chronic morbidity in general practice. A married couple of general practitioners work in two primary health centres in Madrid (Spain), with populations of different socio-economic status: one deprived, another of medium and high class.


OBJECTIVE
The couple try to understand their feelings about a higher prevalence and severity of chronic morbidity in the poor district.


METHODS
A transversal observational study was designed. A total of 119 patients aged 50-70 years were interviewed after the medical encounter. Data were obtained about (i) patients' sociodemographic conditions; (ii) structure and economic status of the families; and (iii) chronic morbidity and health services utilization of family members.


RESULTS
Families in the deprived district included members of more than two generations in 76.5% of cases (18.8% in the comparison district); 70.3% of the heads of the families (main economic support) were pensioners in the poor district (23.7% in the comparison district); patients in the deprived district have more contacts with the health system and more chronic morbidity; families in the poor area have less expressiveness and cohesion and more irritability and negation.


CONCLUSIONS
Perceived morbidity in general practice is a mix of social and family problems as well as number and severity of chronic health problems and health services utilization.
Gómez Rodríguez
E
E
Getafe, INSALUD, Madrid, Spain.
Moreno Raymundo
P
P
Hernández Monsalve
M
M
Gérvas
J
J
D000368:Aged; D002908:Chronic Disease / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005192:Family Health; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012923:Social Class; D013030:Spain / Q000453:epidemiology