Print Email Facebook Twitter The pattern of health care utilization of elderly people with arthritic pain in the hip or knee Title The pattern of health care utilization of elderly people with arthritic pain in the hip or knee Author Hopman-Rock, M. de Bock, G.H. Bijlsma, J.W.J. Springer, M.P. Hofman, A. Kraaimaat, F.W. TNO Preventie en Gezondheid Publication year 1997 Abstract Objective: The aim of the study was to determine the pattern of health care utilization of people aged 55-74 years with arthritic pain in the knee or hip. Design: People with current pain were identified in a population- based study. A filter model was used to describe the pattern of health care utilization of people who presented as patients at different levels (GPs or specialist) of the health care system in the Netherlands. Setting: The study was carried out in the district of Ommoord in Rotterdam in an age- and gender-representative sample of 831 (response 83%; n = 691) people. Study participants: A group of 186 people with current pain was identified. They completed a questionnaire and were interviewed. Main outcome measures: Background variables, illness-related variables (including radiological osteoarthritis), and self-reported diagnoses were described and compared for attenders and non-attenders of GPs and specialists. A reference group of patients of GPs was used to determine the validity and generalizability of the findings. Results: Eighty-two per cent consulted a GP (passed filter 1). In 69% of the GP attenders, 'arthritis' was identified (passed filter 2), and 65% of them attended a specialist (passed filter 3). People who did not pass the various filters were different from those who did with respect to the body mass index (lower; OR 1.24), the chronicity of pain (less chronic pain; OR 4.9) and attendance of a physiotherapist (lower; OR 5.6). The chronicity of pain seems of more importance in determining the health care utilization pattern than the severity of pain, the level of disability or the presence of radiological osteoarthritis. We suggest that health promotion interventions could increase the self-management ability of patients and could lower costs. Subject HealthAgedHealth careOsteoarthritisPainAnalysis of VarianceCase-Control StudiesFemaleHealth BehaviorHealth ServicesHip JointHumansKnee JointLogistic ModelsMaleMiddle AgedNetherlandsOdds RatioOsteoarthritisPhysician's Practice PatternsPrevalenceReferral and ConsultationUtilization Review To reference this document use: http://resolver.tudelft.nl/uuid:1ae6712a-92cf-45dc-bd1e-c27818ea321a DOI https://doi.org/10.1093/intqhc/9.2.129 TNO identifier 233955 ISSN 1353-4505 Source International Journal for Quality in Health Care, 9 (2), 129-137 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.