Health care utilisation by older people with non-traumatic foot complaints What makes the difference?

Author： Gorter Kees   Kuyvenhoven Marijke   de Melker Ruut  

Publisher： Informa Healthcare

ISSN： 0281-3432

Source： Scandinavian Journal of Primary Health Care, Vol.19, Iss.3, 2001-09, pp. : 191-193

Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

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Abstract

Objectives - To determine the factors associated with the type of health care chosen by elderly people suffering from non-traumatic foot complaints.Design - Cross-sectional mailed survey.Setting - Population-based random sample of 7200 people aged ≥ 65 years in The Netherlands.Subjects - 1130 people ≥ 65years with non-traumatic foot complaints for 4 weeks or more.Main outcome measures - Use of non-(para)medical care (i.e. no care at all, self-care and chiropodial care) versus (para)medical care (i.e. care given by paramedical personnel, general practitioners and medical specialists).Results - Six of every 10 respondents sought (para)medical care, half of these visited the GP. Factors associated with the use of (para)medical care were foot-related limitations (adj OR 3.18; 95% CI 2.26–4.46), painful feet (adj OR 1.55; 1.09–2.23), and foot osteoarthritis (adj OR 1.88; 1.32–2.68). (Para)medical care was sought less often than non-(para)medical care for forefoot complaints (adj OR 0.56; 0.41–0.76).Conclusions – Elderly people with non-traumatic foot complaints did notseem to underreporttheir problems to (para)medicalcare providers. Furthermore, they appeared to select the appropriate type of care. Future studies will have to assess the effectiveness of the care provided.

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