TY - JOUR
KW - Adult
KW - Appointments and Schedules
KW - Disasters
KW - Family Practice
KW - Female
KW - Humans
KW - Longitudinal Studies
KW - Male
KW - Medical Records Systems, Computerized
KW - Mental Health
KW - Middle Aged
KW - Netherlands
KW - Patient Compliance
KW - Questionnaires
KW - Self Disclosure
KW - Stress Disorders, Post-Traumatic
KW - Wounds and Injuries/psychology
AU - G. A. Donker
AU - P. G. van der Velden
AU - J. J. Kerssens
AU - C. J. Yzermans
A1 - 
AB - OBJECTIVE: To assess the characteristics and implications for care of infrequent attendance in general practice in the aftermath of disaster. METHODS: A study of the content of electronic medical records (EMRs) in pre- and post-disaster periods linked to an enquiry using self-reported questionnaires administered 3 weeks and 18 months post-disaster. The disaster (explosion of a firework depot in Enschede, The Netherlands) caused 23 deaths, about 1000 people injured and 1200 people who had to relocate. Sample included survivors (N = 922) who participated in two surveys and whose data could be linked to EMRs of GPs. A comparison of reported morbidity in 'infrequent' (a maximum of three times in men and four times in women in the first two post-disaster years) and 'more frequent attenders' (frequency determined post-disaster) in general practice examined in relation to health status (measured by diagnoses in EMRs, symptom checklist and quality of life instrument) was the MAIN OUTCOME MEASURE: RESULTS: Infrequent attenders reported approximately three times as few contacts as more frequent attenders in the pre-disaster year (P < 0.001). Multivariate logistic regression analyses revealed that infrequent attenders were likely to be younger, less depressed, have better subjective health and physical functioning and exhibited more hostile behaviour (measured by questionnaire). Infrequent attenders were less often personally bereaved by the disaster, but more often relocated, and had a lower prevalence of psychological problems pre- and post-disaster although this increased stronger (by 10-fold). CONCLUSIONS: Both groups showed the same type of psychological problems post-disaster, but differed in the frequency of contacting the GP.
BT - Family practice
C5 - HIT & Telehealth
CP - 2
CY - England
DO - 10.1093/fampra/cmn007
IS - 2
JF - Family practice
N2 - OBJECTIVE: To assess the characteristics and implications for care of infrequent attendance in general practice in the aftermath of disaster. METHODS: A study of the content of electronic medical records (EMRs) in pre- and post-disaster periods linked to an enquiry using self-reported questionnaires administered 3 weeks and 18 months post-disaster. The disaster (explosion of a firework depot in Enschede, The Netherlands) caused 23 deaths, about 1000 people injured and 1200 people who had to relocate. Sample included survivors (N = 922) who participated in two surveys and whose data could be linked to EMRs of GPs. A comparison of reported morbidity in 'infrequent' (a maximum of three times in men and four times in women in the first two post-disaster years) and 'more frequent attenders' (frequency determined post-disaster) in general practice examined in relation to health status (measured by diagnoses in EMRs, symptom checklist and quality of life instrument) was the MAIN OUTCOME MEASURE: RESULTS: Infrequent attenders reported approximately three times as few contacts as more frequent attenders in the pre-disaster year (P < 0.001). Multivariate logistic regression analyses revealed that infrequent attenders were likely to be younger, less depressed, have better subjective health and physical functioning and exhibited more hostile behaviour (measured by questionnaire). Infrequent attenders were less often personally bereaved by the disaster, but more often relocated, and had a lower prevalence of psychological problems pre- and post-disaster although this increased stronger (by 10-fold). CONCLUSIONS: Both groups showed the same type of psychological problems post-disaster, but differed in the frequency of contacting the GP.
PP - England
PY - 2008
SN - 1460-2229; 0263-2136
SP - 92
EP - 97
EP - 
T1 - Infrequent attendance in general practice after a major disaster: a problem? A longitudinal study using medical records and self-reported distress and functioning
T2 - Family practice
TI - Infrequent attendance in general practice after a major disaster: a problem? A longitudinal study using medical records and self-reported distress and functioning
U1 - HIT & Telehealth
U3 - 10.1093/fampra/cmn007
VL - 25
VO - 1460-2229; 0263-2136
Y1 - 2008
ER -