Infrequent attendance in general practice after a major disaster: a problem? A longitudinal study using medical records and self-reported distress and functioning.Fam Pract 2008; 25(2):92-7FP
To assess the characteristics and implications for care of infrequent attendance in general practice in the aftermath of disaster.
A study of the content of electronic medical records (EMRs) in pre- and post-disaster periods linked to an enquiry using self-reported questionnaires administered 3 weeks and 18 months post-disaster. The disaster (explosion of a firework depot in Enschede, The Netherlands) caused 23 deaths, about 1000 people injured and 1200 people who had to relocate. Sample included survivors (N = 922) who participated in two surveys and whose data could be linked to EMRs of GPs. A comparison of reported morbidity in 'infrequent' (a maximum of three times in men and four times in women in the first two post-disaster years) and 'more frequent attenders' (frequency determined post-disaster) in general practice examined in relation to health status (measured by diagnoses in EMRs, symptom checklist and quality of life instrument) was the
Both groups showed the same type of psychological problems post-disaster, but differed in the frequency of contacting the GP.