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Canadian Family Physician logoLink to Canadian Family Physician
. 1995 Mar;41:392–400.

Do widowers use the health care system differently? Does intervention make a difference?

F Tudiver 1, J A Permaul-Woods 1, J Hilditch 1, J Harmina 1, S Saini 1
PMCID: PMC2148025  PMID: 7773026

Abstract

OBJECTIVE: To describe the health care use patterns of widowers who had participated in a randomized trial of mutual support, and of a matched cohort of married men DESIGN: Retrospective audit of Ministry of Health use data SETTING: The family practice unit in a general teaching hospital. PARTICIPANTS: The 113 new widowers (61 treatment, 52 waiting-list controls) who participated in a randomized trial of mutual support, and 111 married men matched for age INTERVENTIONS: Mutual support program MAIN OUTCOME MEASURES: Monthly rates of visits to family physicians, psychiatrists, and all other specialists for the three cohorts RESULTS: Visit rates to family physicians and specialists (SPs) for the married men were stable for the 20 months of the study; rates for the widowers rose significantly from the time of loss to the end of the intervention (for FPs, f = 13.18, df = 2, P < .01; for SPs, f = 5.34, df = 2, P = .005). Rates for FPs declined after intervention for the treatment group, but kept rising among the controls (f = 4.17, df = 1, P = .044). CONCLUSIONS: The decreased physician visit rate among those taking part in the mutual support program suggests that this program met some of the widowers' social support needs that would otherwise have led to the use of health care resources.

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Selected References

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  1. BECK A. T., WARD C. H., MENDELSON M., MOCK J., ERBAUGH J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561–571. doi: 10.1001/archpsyc.1961.01710120031004. [DOI] [PubMed] [Google Scholar]
  2. Clayton P. J. Mortality and morbidity in the first year of widowhood. Arch Gen Psychiatry. 1974 Jun;30(6):747–750. doi: 10.1001/archpsyc.1974.01760120013002. [DOI] [PubMed] [Google Scholar]
  3. Gijsbers van Wijk C. M., Kolk A. M., van den Bosch W. J., van den Hoogen H. J. Male and female morbidity in general practice: the nature of sex differences. Soc Sci Med. 1992 Sep;35(5):665–678. doi: 10.1016/0277-9536(92)90005-b. [DOI] [PubMed] [Google Scholar]
  4. Gourash N. Help-seeking: a review of the literature. Am J Community Psychol. 1978 Oct;6(5):413–423. doi: 10.1007/BF00941418. [DOI] [PubMed] [Google Scholar]
  5. Katon W., Kleinman A., Rosen G. Depression and somatization: a review. Part I. Am J Med. 1982 Jan;72(1):127–135. doi: 10.1016/0002-9343(82)90599-x. [DOI] [PubMed] [Google Scholar]
  6. Katon W., Kleinman A., Rosen G. Depression and somatization: a review. Part II. Am J Med. 1982 Feb;72(2):241–247. doi: 10.1016/0002-9343(82)90816-6. [DOI] [PubMed] [Google Scholar]
  7. Krause N. Stressful life events and physician utilization. J Gerontol. 1988 Mar;43(2):S53–S61. doi: 10.1093/geronj/43.2.s53. [DOI] [PubMed] [Google Scholar]
  8. Mor V., McHorney C., Sherwood S. Secondary morbidity among the recently bereaved. Am J Psychiatry. 1986 Feb;143(2):158–163. doi: 10.1176/ajp.143.2.158. [DOI] [PubMed] [Google Scholar]
  9. PARKES C. M. EFFECTS OF BEREAVEMENT ON PHYSICAL AND MENTAL HEALTH--A STUDY OF THE MEDICAL RECORDS OF WIDOWS. Br Med J. 1964 Aug 1;2(5404):274–279. doi: 10.1136/bmj.2.5404.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Parkes C. M., Brown R. J. Health after bereavement. A controlled study of young Boston widows and widowers. Psychosom Med. 1972 Sep-Oct;34(5):449–461. doi: 10.1097/00006842-197209000-00008. [DOI] [PubMed] [Google Scholar]
  11. Schoen R. T., Vender R. J. Mechanisms of nonsteroidal anti-inflammatory drug-induced gastric damage. Am J Med. 1989 Apr;86(4):449–458. doi: 10.1016/0002-9343(89)90344-6. [DOI] [PubMed] [Google Scholar]
  12. Tan J. K., McCormick E., Sheps S. B. Utilization care plans and effective patient data management. Hosp Health Serv Adm. 1993 Spring;38(1):81–99. [PubMed] [Google Scholar]
  13. Tessler R., Mechanic D., Dimond M. The effect of psychological distress on physician utilization: a prospective study. J Health Soc Behav. 1976 Dec;17(4):353–364. [PubMed] [Google Scholar]
  14. Tudiver F., Hilditch J., Permaul J. A. A comparison of psychosocial characteristics of new widowers and married men. Fam Med. 1991 Sep-Oct;23(7):501–505. [PubMed] [Google Scholar]
  15. Wan T. T. Functionally disabled elderly. Health status, social support, and use of health services. Res Aging. 1987 Mar;9(1):61–78. doi: 10.1177/0164027587009001003. [DOI] [PubMed] [Google Scholar]
  16. Weingarten S., Bolus R., Riedinger M., Selker H., Ellrodt A. G. Do older internists use more hospital resources than younger internists for patients hospitalized with chest pain? A study of patients hospitalized in the coronary care and intermediate care units. Crit Care Med. 1992 Jun;20(6):762–767. doi: 10.1097/00003246-199206000-00011. [DOI] [PubMed] [Google Scholar]
  17. Weissman M. M., Prusoff B. A., Thompson W. D., Harding P. S., Myers J. K. Social adjustment by self-report in a community sample and in psychiatric outpatients. J Nerv Ment Dis. 1978 May;166(5):317–326. doi: 10.1097/00005053-197805000-00002. [DOI] [PubMed] [Google Scholar]
  18. Williams J. G., Engler C. A double-glind comparative trial of naproxen and indomethacin in sports injuries. Rheumatol Rehabil. 1977 Nov;16(4):265–269. doi: 10.1093/rheumatology/16.4.265. [DOI] [PubMed] [Google Scholar]

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