title: [Patients forgoing health care for economic reasons: how to identify this in a primary care setting?].
abstract: Although the performance of the Swiss health system is high, one out of ten patients in general practitioner's (GP) office declares having foregone care in the previous twelve months for economic reasons. Reasons for foregoing care are several and include a lack of knowledge of existing social aids in getting health insurance, unavailability of GPs and long waiting lists for various types of care. Although long term knowledge of patients or a psychosocial history of deprivation or poverty may help identify individuals at risk of foregoing care, many may remain undetected. We propose then a few instruments to help GPs to identify, in a simple and structured approach, patients at risk of forgoing care for economic reasons; these patients are frequently deprived and sometimes poor.
authors.affiliation: PMU. patrick.bodenmann@hospvd.ch
authors.forename: Patrick
authors.initials: P
authors.lastname: Bodenmann
authors.forename: Hans
authors.initials: H
authors.lastname: Wolff
authors.forename: Thomas
authors.initials: T
authors.lastname: Bischoff
authors.forename: Lilli
authors.initials: L
authors.lastname: Herzig
authors.forename: Philippe
authors.initials: P
authors.lastname: Warin
authors.forename: Sophia
authors.initials: S
authors.lastname: Chatelard
authors.forename: Bernard
authors.initials: B
authors.lastname: Burnand
authors.forename: Paul
authors.initials: P
authors.lastname: Vaucher
authors.forename: Bernard
authors.initials: B
authors.lastname: Favrat
authors.lastname: Panese Francesco
authors.forename: Yves L
authors.initials: YL
authors.lastname: Jackson
authors.forename: Francis
authors.initials: F
authors.lastname: Vu
authors.forename: Idris
authors.initials: I
authors.lastname: Guessous
mesh_terms: D000368:Aged; D017281:Cost of Illness; D005102:Health Expenditures; D006801:Humans; D008297:Male; D010817:Physician-Patient Relations; D011203:Poverty; D011320:Primary Health Care / Q000191:economics* / Q000592:standards; D013557:Switzerland; D016312:Treatment Refusal