Concerns voiced by patients and GPs’ responses during psychosocial visits in primary care: a historical cross-sectional study

Table 4 Voiced cues and concerns by patients in both periods

		1977-1989 (N = 121)	1995-2008 (N = 391)	Chi ²*
		N (%)	N (%)
Consultations with at least one cue		106 (88%)	363 (93%)	3.29
Consultations with at least one concern		29 (24%)	144 (37%)	6.8**
Timing of cues and concerns:
Cues and concerns during initial statements		138 (15%)	442 (11.5%)	8.64**
Cues and concerns during exploration phase		337 (36.5%)	1,168 (30%)	13.67***
Cues and concerns during therapeutic phase		449 (48.5%)	2,259 (58.5%)	29.11***
Estimated frequencies of cues and concerns per consultation^†		Estimate (95% CI)	Estimate (95% CI)	Chi²
Model 1: complete model^‡	Psychological	7.7 (6.1 - 9.6)	9.9 (8.8 - 11.1)	3.57
	Social	9.5 (7.5 - 12.1)	10.2 (8.7 - 11.9)	0.22
	Physical	6.0 (4.7 - 7.6)	5.7 (5.1 - 6.4)	0.10
Model 2a: without patient characteristics^§	Psychological	7.8 (6.2 - 9.8)	9.6 (8.6 - 10.8)	2.48
	Social	9.7 (7.6 - 12.3)	10.3 (8.8 - 12.0)	0.16
	Physical	5.7 (4.5 - 7.3)	5.9 (5.2 - 6.6)	0.05
Model 2b: without GP characteristics^\|\|	Psychological	7.7 (6.2 - 9.5)	10.0 (8.9 - 11.1)	4.69*
	Social	8.9 (7.1 - 11.1)	10.2 (8.8 - 11.9)	1.01
	Physical	5.9 (4.7 - (7.4)	5.8 (5.2 - 6.4)	0.03

*Significant Chi²-tests indicate significant differences between the two periods, *p <0.05, **p <0.01, ***p <0.001.
^†Estimated with multilevel Poisson regression models.
^‡Included covariates: consultation duration, age of patient, gender of patient, age of GP, gender of GP.
^§Included covariates: consultation duration, age of GP, gender of GP.
^||Included covariates: consultation duration, age of patient, gender of patient.

ISSN: 2731-4553