Skip to main content
Top
Published in: Israel Journal of Health Policy Research 1/2013

Open Access 01-12-2013 | Commentary

Are non-attenders a concern for primary care practice?

Authors: Vladimir Khanassov, Isabelle Vedel, Howard Bergman

Published in: Israel Journal of Health Policy Research | Issue 1/2013

Login to get access

Abstract

The article by Eshel et al. describes major differences, in terms of demography and health status, between elderly patients who did and those who did not visit primary care physicians for general health check-ups. The authors conclude that non-attenders are not at risk for developing health conditions.
While this study by Eshel et al. provides a better understanding of the primary care population, the conclusion (no need for reaching out to the non-attenders) should be viewed with caution. In this study, non-attenders ‘have a higher probability of being women, older, not married and from a lower socio-economic’ segment of the population, a population that is known to be at higher risk for chronic disease. In addition, outreach programs in primary care would be key in providing essential preventive measures for this vulnerable population (e.g., osteoporosis prevention, vaccination, lifestyle, etc.).
Literature
1.
go back to reference Eshel N, Raz R, Chodick M: Characteristics of the elderly who do not visit primary care physicians. Isr J of Health Policy Res. 2013, 2: 7-10.1186/2045-4015-2-7.CrossRef Eshel N, Raz R, Chodick M: Characteristics of the elderly who do not visit primary care physicians. Isr J of Health Policy Res. 2013, 2: 7-10.1186/2045-4015-2-7.CrossRef
2.
go back to reference Thomas K, Nicholl J, Fall M, Lowy A, Williams B: Case against targeting long term non-attenders in general practice for a health check. British J of General Practice. 1993, 43: 285-290. Thomas K, Nicholl J, Fall M, Lowy A, Williams B: Case against targeting long term non-attenders in general practice for a health check. British J of General Practice. 1993, 43: 285-290.
3.
go back to reference Ebrahim S, Hedley R, Sheldon M: Low levels of ill health among elderly non-consulters in general practice. British Medical J. 1984, 289: 1273-1275. 10.1136/bmj.289.6454.1273.CrossRef Ebrahim S, Hedley R, Sheldon M: Low levels of ill health among elderly non-consulters in general practice. British Medical J. 1984, 289: 1273-1275. 10.1136/bmj.289.6454.1273.CrossRef
4.
go back to reference Fogelman Y, Tabenkin H, Weiss R, Tamir A: Characteristics of registered clinic patients who have not visited their family physician for 3 years. Fam Practice. 1993, 10 (1): 46-48. 10.1093/fampra/10.1.46.CrossRef Fogelman Y, Tabenkin H, Weiss R, Tamir A: Characteristics of registered clinic patients who have not visited their family physician for 3 years. Fam Practice. 1993, 10 (1): 46-48. 10.1093/fampra/10.1.46.CrossRef
5.
go back to reference Williams E, Barley N: Old people not known to the general practitioner: low risk group. British Medical J. 1985, 291: 251-254. 10.1136/bmj.291.6490.251.CrossRef Williams E, Barley N: Old people not known to the general practitioner: low risk group. British Medical J. 1985, 291: 251-254. 10.1136/bmj.291.6490.251.CrossRef
6.
go back to reference Bowling A: Contact with general practitioners and differences in health status among people aged over 85 years. J of the Royal College of General Prac. 1989, 39: 52-55. Bowling A: Contact with general practitioners and differences in health status among people aged over 85 years. J of the Royal College of General Prac. 1989, 39: 52-55.
7.
go back to reference Pill R, French J, Harding K, Stott N: Invitation to attend a health check in a general practice setting: comparison of attenders and non-attenders. J of the Royal College of General Prac. 1988, 38: 53-56. Pill R, French J, Harding K, Stott N: Invitation to attend a health check in a general practice setting: comparison of attenders and non-attenders. J of the Royal College of General Prac. 1988, 38: 53-56.
8.
go back to reference Suominen-Taipale A, Koskinen S, Martelin T, Holmen J, Johnsen R: Differences in older adults' use of primary and specialist care services in two Nordic countries. Eur J Public Health. 2004, 14 (4): 375-380. 10.1093/eurpub/14.4.375.CrossRefPubMed Suominen-Taipale A, Koskinen S, Martelin T, Holmen J, Johnsen R: Differences in older adults' use of primary and specialist care services in two Nordic countries. Eur J Public Health. 2004, 14 (4): 375-380. 10.1093/eurpub/14.4.375.CrossRefPubMed
9.
go back to reference Dryden R, Williams B, McCowan C, Themessl-Huber M: What do we know about who does and does not attend general health checks? Findings from a narrative scoping review. BMC Publ Health. 2012, 12: 723-10.1186/1471-2458-12-723.CrossRef Dryden R, Williams B, McCowan C, Themessl-Huber M: What do we know about who does and does not attend general health checks? Findings from a narrative scoping review. BMC Publ Health. 2012, 12: 723-10.1186/1471-2458-12-723.CrossRef
10.
go back to reference Feachem RG, Sekhri NK, White KL: Getting more for their dollar: a comparison of the NHS with California’s Kaiser Permanente. British Medical J. 2002, 324 (7330): 135-141. 10.1136/bmj.324.7330.135.CrossRef Feachem RG, Sekhri NK, White KL: Getting more for their dollar: a comparison of the NHS with California’s Kaiser Permanente. British Medical J. 2002, 324 (7330): 135-141. 10.1136/bmj.324.7330.135.CrossRef
Metadata
Title
Are non-attenders a concern for primary care practice?
Authors
Vladimir Khanassov
Isabelle Vedel
Howard Bergman
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Israel Journal of Health Policy Research / Issue 1/2013
Electronic ISSN: 2045-4015
DOI
https://doi.org/10.1186/2045-4015-2-13

Other articles of this Issue 1/2013

Israel Journal of Health Policy Research 1/2013 Go to the issue