[Patients forgoing health care for economic reasons: how to identify this in a primary care setting?].

Titre[Patients forgoing health care for economic reasons: how to identify this in a primary care setting?].
Publication TypeJournal Article
Year of Publication2014
AuthorsBodenmann, P, Wolff, H, Bischoff, T, Herzig, L, Warin, P, Chatelard, S, Burnand, B, Vaucher, P, Favrat, B, Jackson, YL, Vu, F, Guessous, I
JournalRev Med Suisse
Pagination2258, 2260-3
Date Published2014 Nov 26
ISBN Number1660-9379 (Print)
Mots-clésAged, Cost of Illness, Health Expenditures, Humans, Male, Physician-Patient Relations, Poverty, Primary Health Care, Switzerland, Treatment Refusal

Although the performance of the Swiss health system is high, one out of ten patients in general practitioner's (GP) office declares having foregone care in the previous twelve months for economic reasons. Reasons for foregoing care are several and include a lack of knowledge of existing social aids in getting health insurance, unavailability of GPs and long waiting lists for various types of care. Although long term knowledge of patients or a psychosocial history of deprivation or poverty may help identify individuals at risk of foregoing care, many may remain undetected. We propose then a few instruments to help GPs to identify, in a simple and structured approach, patients at risk of forgoing care for economic reasons; these patients are frequently deprived and sometimes poor.


Publication types: English Abstract ; Journal Article

Alternate URL


Alternate JournalRev Med Suisse
Citation Key / SERVAL ID5661
PubMed ID25562977
Thème IUMSP et mots clés: 


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