title: Why older women do or do not seek help from the GP after a fall: a qualitative study.
abstract: BACKGROUND
  It is recommended that older people report their falls to their general practitioner (GP), to identify falls risk factors. However, many older people do not report falling to their GP. Little is known about the reasons why older people do and do not seek help about falling.
  
  
  OBJECTIVE
  To explore why older women do or do not seek GP help after a fall.
  
  
  METHODS
  A qualitative study, using semi-structured interviews with 11 community-dwelling women aged ≥ 65 years, living in Adelaide, Australia, who had fallen in the last 12 months. Interviews focused on women's experience of falling and seeking GP help. Interviews were analysed using constant comparison.
  
  
  RESULTS
  Four women sought GP help when they believed their fall-related injury was serious enough. Family and a bystander persuaded three women to attend for a fall-related injury. The four women who did not seek help believed their fall or fall-related injury was not serious enough to seek help and justified this by using internal rationales (they monitored and managed the outcome of falling, they wanted to be associated with a positive image and attitude, and they recognized and interpreted the cause and control of falling) and external rationales (they did not want to waste GPs' time for trivial reasons and they believed they did not have timely access to their GP).
  
  
  CONCLUSIONS
  Given the reasons why some older women do not seek help for falling, GPs should routinely ask older women for their 12-month fall history.
authors.affiliation: Discipline of General Practice and.
authors.forename: Joanne
authors.initials: J
authors.lastname: Dollard
authors.forename: Annette
authors.initials: A
authors.lastname: Braunack-Mayer
authors.forename: Khim
authors.initials: K
authors.lastname: Horton
authors.forename: Simon
authors.initials: S
authors.lastname: Vanlint
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001315:Australia; D005260:Female; D058006:General Practice; D006801:Humans; D010342:Patient Acceptance of Health Care; D036301:Qualitative Research
keywords: Accidental falls; general practitioners; health care seeking behaviour; health services for the aged; qualitative research; women.