Factors influencing the type of health problems presented by women in general practice: differences between women's health care and regular health care.
OBJECTIVE
Differences between health problems presented by women (aged 20-45) to female "women's health care" doctors and both female and male regular health care doctors were investigated. This article explores the relationship of patients' roles (worker, partner, or parent) and the type of health care, controlling for education, to the presentation of psychological, social, and purely somatic problems in general practice.


METHODS
Data was derived from a "women's health care" practice and twenty-one group practices providing regular care. The doctors registered detailed information about all patient contacts during a three-month period. Logistic regression analysis was used in order to calculate the likelihood of women attending their doctor to present with psychological, social, or somatic health problems.


RESULTS
We found that the effect of education was much stronger than the effect of roles. Women attending women's health care presented more psychological and social problems and less somatic problems than women visiting regular health care doctors. Patients of female and male doctors providing regular care did not differ in this respect between each other.


CONCLUSIONS
This study showed that patient characteristics, like roles and education, are related to the type of health problems presented to general practitioners. The type of health care was also important in explaining differences in the problems presented to them. Future research in primary care should include doctor characteristics to better understand how these characteristics might relate to patient outcomes.
van den Brink-Muinen
A
A
NIVEL (Netherlands Institute of Primary Health Care), The Netherlands.
Bensing
J M
JM
D000328:Adult; D000704:Analysis of Variance; D001294:Attitude to Health; D016009:Chi-Square Distribution; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005194:Family Practice / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D009426:Netherlands; D016017:Odds Ratio; D012737:Sex Factors; D012959:Socioeconomic Factors; D014932:Women's Health Services / Q000706:statistics & numerical data*