Literature DB >> 10065307

Why do patients seek family physicians' services for cold symptoms?

D H Keast1, J N Marshall, M A Stewart, V Orr.   

Abstract

OBJECTIVE: To examine the frequency of presentation to family physicians' offices for cold symptoms, the reasons for presentation, and the duration of symptoms before presentation.
DESIGN: Prospective cross-sectional survey. PARTICIPANTS: One hundred consecutive patient encounters in each of 15 family practices from January 27 to February 3, 1994, involving both academic and non-academic family physicians in the London region. Data were collected prospectively using a checklist attached to each chart. MAIN OUTCOME MEASURES: Proportion of patients presenting with cold symptoms, reasons for presentation, number of days patients had had symptoms, billing code.
RESULTS: A total of 1421 checklists were analyzed, 822 from academic practices and 599 from community practices. Proportion of presentations for cold symptoms was 14.8%, but visits coded as common cold represented 5.7%. Median number of days patients waited before presentation was 7.0; older patients tended to wait longer. Many patients were worried about developing complications (51.0%) or were fed up with their symptoms (31.9%). Most patients were between the ages of 20 and 64 (44.6%), and 57.6% of all patients had developed complications requiring treatment.
CONCLUSIONS: The proportion of visits coded as common cold was lower than Ontario averages. Most patients had complications rather than simple colds and had managed their symptoms on their own for a fairly long time.

Entities:  

Mesh:

Year:  1999        PMID: 10065307      PMCID: PMC2328276     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  10 in total

1.  The accuracy of recording patient problems in family practice.

Authors:  B G Bentsen
Journal:  J Med Educ       Date:  1976-04

Review 2.  Reducing demand for physician visits through public education: a look at the pilot cold-and-flu campaign in London, Ontario.

Authors:  E M Brown; V Goel
Journal:  CMAJ       Date:  1996-03-15       Impact factor: 8.262

3.  Physicians' knowledge of and response to patients' problems.

Authors:  M A Stewart; C W Buck
Journal:  Med Care       Date:  1977-07       Impact factor: 2.983

4.  Survey adds evidence that office visits indicate 'just tip of the iceberg' of medical problems.

Authors:  C A Raymond
Journal:  JAMA       Date:  1988-02-05       Impact factor: 56.272

5.  Beyond diagnosis: an approach to the integration of behavioral science and clinical medicine.

Authors:  I R McWhinney
Journal:  N Engl J Med       Date:  1972-08-24       Impact factor: 91.245

Review 6.  Common colds. Causes, potential cures, and treatment.

Authors:  H G Saroea
Journal:  Can Fam Physician       Date:  1993-10       Impact factor: 3.275

7.  Potential effect of self-care algorithms on the number of physician visits.

Authors:  A O Berg; J P LoGerfo
Journal:  N Engl J Med       Date:  1979-03-08       Impact factor: 91.245

8.  Consumer impact of a Cold Self-Care Center in a prepaid ambulatory care setting.

Authors:  B Estabrook
Journal:  Med Care       Date:  1979-11       Impact factor: 2.983

9.  How illness presents: a study of patient behavior.

Authors:  M A Stewart; I R McWhinney; C W Buck
Journal:  J Fam Pract       Date:  1975-12       Impact factor: 0.493

10.  Self-care: a health diary study.

Authors:  C B Freer
Journal:  Med Care       Date:  1980-08       Impact factor: 2.983

  10 in total
  3 in total

1.  Are there benefits to treating these conditions?

Authors:  C Milburn
Journal:  Can Fam Physician       Date:  1999-08       Impact factor: 3.275

2.  Characteristics of the use of cold combination products among older ambulatory patients at the National Hospital Organization Tochigi Medical Center in Japan: a retrospective single-center observational study.

Authors:  Junpei Komagamine
Journal:  BMC Res Notes       Date:  2017-12-08

3.  Impact of a Comprehensive Workplace Hand Hygiene Program on Employer Health Care Insurance Claims and Costs, Absenteeism, and Employee Perceptions and Practices.

Authors:  James W Arbogast; Laura Moore-Schiltz; William R Jarvis; Amanda Harpster-Hagen; Jillian Hughes; Albert Parker
Journal:  J Occup Environ Med       Date:  2016-06       Impact factor: 2.162

  3 in total

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