Bmc Health Serv Res
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Bmc Health Serv Res · Mar 2016
Multicenter Study Observational StudyThe association between medically unexplained physical symptoms and health care use over two years and the influence of depressive and anxiety disorders and personality traits: a longitudinal study.
Medically unexplained physical symptoms (MUPS) are highly prevalent and are associated with frequent health care use (HCU). MUPS frequently co-occur with psychiatric disorders. With this study we examined the longitudinal association between MUPS and HCU over 2 years and the influence of depressive and anxiety disorders and personality traits on this association. ⋯ Our results show that MUPS were positively associated with HCU over 2 years, even after adjusting for depressive and anxiety disorders and personality traits.
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Bmc Health Serv Res · Mar 2016
The role of primary care providers in patient activation and engagement in self-management: a cross-sectional analysis.
The increasing burden of chronic illness highlights the importance of self-care and shifts from hierarchical and patriarchal models to partnerships. Primary care providers (PCPs) play an important role in supporting patients in self-management, enabling activation and supporting chronic care. We explored the extent to which PCPs' beliefs about the importance of the patients' role relate to the frequency in which they report engaging in collaborative and partnership-building behaviors with patients. ⋯ More positive PCP beliefs about the patients' role in self-management was strongly related to PCP behaviors geared towards increasing patient activation.