Abstract
BACKGROUND: Teenagers are believed to have health concerns that are not adequately addressed in primary care because of perceived barriers that inhibit them from consulting a general practitioner (GP). We report the results of a study examining links between potential attitudinal barriers and actual help-seeking behaviour. AIM: To determine whether the attitudes of teenagers towards general practice are associated with differences in consultation patterns. METHOD: Results of a postal questionnaire survey of attitudes to general practice, performed among teenage patients aged 13 to 15 years registered with five general practices in the East Midlands, were analysed in relation to consultation data from retrospective casenote analysis for the preceding 12 months. RESULTS: Matched questionnaire and consultation data were available for 678 teenagers. We found few significant differences in overall consultation rates between teenagers expressing differing attitudes about aspects of general practice. Differences did exist in relation to perceived difficulty in getting an appointment, feeling able to confide in a GP, and perception of adequate time being given in the consultation. Fear of embarrassment was associated with lower consultation rates for gynaecological problems and contraception. CONCLUSIONS: Negative perceptions of general practice by teenagers may have less of an influence on actual consultation behaviour than previously believed. However, there are some aspects of care that merit further attention if teenagers are to feel able to consult their GP more easily.
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Selected References
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- Baker R. The reliability and criterion validity of a measure of patients' satisfaction with their general practice. Fam Pract. 1991 Jun;8(2):171–177. doi: 10.1093/fampra/8.2.171. [DOI] [PubMed] [Google Scholar]
- Bewley B. R., Higgs R. H., Jones A. Adolescent patients in an Inner London general practice: their attitudes to illness and health care. J R Coll Gen Pract. 1984 Oct;34(267):543–546. [PMC free article] [PubMed] [Google Scholar]
- Donovan C., Mellanby A. R., Jacobson L. D., Taylor B., Tripp J. H. Teenagers' views on the general practice consultation and provision of contraception. The Adolescent Working Group. Br J Gen Pract. 1997 Nov;47(424):715–718. [PMC free article] [PubMed] [Google Scholar]
- Epstein R., Rice P., Wallace P. Teenagers' health concerns: implications for primary health care professionals. J R Coll Gen Pract. 1989 Jun;39(323):247–249. [PMC free article] [PubMed] [Google Scholar]
- Hibble A., Elwood J. Health promotion for young people. Practitioner. 1992 Dec;236(1521):1140, 1142-3. [PubMed] [Google Scholar]
- Jacobson L. D., Mellanby A. R., Donovan C., Taylor B., Tripp J. H. Teenagers' views on general practice consultations and other medical advice. The Adolescent Working Group, RCGP. Fam Pract. 2000 Apr;17(2):156–158. doi: 10.1093/fampra/17.2.156. [DOI] [PubMed] [Google Scholar]
- Jacobson L. D., Owen P. A. Study of teenage care in one general practice. Br J Gen Pract. 1993 Aug;43(373):349–349. [PMC free article] [PubMed] [Google Scholar]
- Jacobson L. D., Wilkinson C. E. Review of teenage health: time for a new direction. Br J Gen Pract. 1994 Sep;44(386):420–424. [PMC free article] [PubMed] [Google Scholar]
- Jacobson L. D., Wilkinson C., Owen P. A. Is the potential of teenage consultations being missed?: a study of consultation times in primary care. Fam Pract. 1994 Sep;11(3):296–299. doi: 10.1093/fampra/11.3.296. [DOI] [PubMed] [Google Scholar]
- Jones R., Finlay F., Simpson N., Kreitman T. How can adolescents' health needs and concerns best be met? Br J Gen Pract. 1997 Oct;47(423):631–634. [PMC free article] [PubMed] [Google Scholar]
- Kari J., Donovan C., Li J., Taylor B. Adolescents' attitudes to general practice in north London. Br J Gen Pract. 1997 Feb;47(415):109–110. [PMC free article] [PubMed] [Google Scholar]
- Kramer T., Iliffe S., Murray E., Waterman S. Which adolescents attend the GP? Br J Gen Pract. 1997 May;47(418):327–327. [PMC free article] [PubMed] [Google Scholar]
- Malus M. Towards a separate adolescent medicine. BMJ. 1992 Oct 3;305(6857):789–790. doi: 10.1136/bmj.305.6857.789. [DOI] [PMC free article] [PubMed] [Google Scholar]