Article1976

The Effect of Psychological Distress on Physician Utilization: A Prospective Study

Richard C. Tessler · David Mechanic · Margaret F. Dimond

218 citations0/0 files storedJournal of Health and Social Behavior

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Mental Health Treatment and Access Primary Care and Health Outcomes Health disparities and outcomes

Abstract

This paper examines the hypothesis that psychological distress is causally related to physician utilization among enrollees in a prepaid group practice. Measures of distress are constructed from questions included in a servey interview, while the utilization data come from medical records. Distress levels were measured prior to the period of utilization studied. The results show a positive relationship between distress and physician utilization, which persists even when a variety of sociodemographic, attitudinal, and health status variables have been controlled. The results are discussed in terms of a perspective that emphasizes social-psychological needs as triggers for physician utilization

Citations in this library

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References

1966Psychiatric illness in general practice

Cited by

1987Gender Differences in the Use of Mental Health-Related Services: A Re-Examination 1984Feeling bad: exploring sources of distress among pre-adolescent children.1998Skepticism Toward Medical Care and Health Care Utilization 1992The Effects of Psychological Distress and Psychological Well-Being on Use of Medical Services 1986Symptomatic Depression in Elderly Medical Outpatients 1988Factors Affecting the Probability of Use of General and Medical Health and Social/Community Services for Mexican Americans and Non-Hispanic Whites 1982Use of General Medical Care Services by Persons With Mental Disorders 1982Stress and the Utilization of Health Services: A Time Series and Cross-Sectional Analysis

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