title: Are non-attenders a concern for primary care practice?
abstract: The article by Eshel et al. describes major differences, in terms of demography and health status, between elderly patients who did and those who did not visit primary care physicians for general health check-ups. The authors conclude that non-attenders are not at risk for developing health conditions.While this study by Eshel et al. provides a better understanding of the primary care population, the conclusion (no need for reaching out to the non-attenders) should be viewed with caution. In this study, non-attenders 'have a higher probability of being women, older, not married and from a lower socio-economic' segment of the population, a population that is known to be at higher risk for chronic disease. In addition, outreach programs in primary care would be key in providing essential preventive measures for this vulnerable population (e.g., osteoporosis prevention, vaccination, lifestyle, etc.).This is a commentary on http://www.ijhpr.org/content/2/1/7.
authors.affiliation: Department of Family Medicine, McGill University, 517 Pine Avenue West, Montreal, Quebec, H2W 1S4, Canada. howard.bergman@mcgill.ca.
authors.forename: Vladimir
authors.initials: V
authors.lastname: Khanassov
authors.forename: Isabelle
authors.initials: I
authors.lastname: Vedel
authors.forename: Howard
authors.initials: H
authors.lastname: Bergman
references.citation: Br Med J (Clin Res Ed). 1984 Nov 10;289(6454):1273-5
references.pmid: 6437516
references.citation: BMJ. 2002 Jan 19;324(7330):135-41
references.pmid: 11799029
references.citation: Eur J Public Health. 2004 Dec;14(4):375-80
references.pmid: 15542872
references.citation: Isr J Health Policy Res. 2013 Feb 20;2(1):7
references.pmid: 23425319
references.citation: Br J Gen Pract. 1993 Jul;43(372):285-9
references.pmid: 8398245
references.citation: Fam Pract. 1993 Mar;10(1):46-8
references.pmid: 8477893
references.citation: J R Coll Gen Pract. 1988 Feb;38(307):53-6
references.pmid: 3204565
references.citation: Br Med J (Clin Res Ed). 1985 Jul 27;291(6490):251-4
references.pmid: 3926144
references.citation: J R Coll Gen Pract. 1989 Feb;39(319):52-5
references.pmid: 2552091
references.citation: BMC Public Health. 2012 Aug 31;12:723
references.pmid: 22938046