Predictors of patient-initiated reconsultation for lower respiratory tract infections in general practice

British Journal of General Practice

Christopher C Butler¹  Geert-Jan Dinant¹  Nienke Aaftink¹  Rogier M Hopstaken¹  Kerenza Hood¹  Nick A Francis¹  Jochen WL Cals¹ 

[1] Department of General Practice, School for Public Health and Primary Care (CAPHRI), Maastricht University Medical Centre, The Netherlands

关键词: communication;    family practice;    respiratory tract infections;   

DOI  :  10.3399/bjgp09X472656

学科分类：卫生学

来源: Royal College of General Practitioners

【 摘 要 】

Reconsultation for lower respiratory tract infection (LRTI) is common in general practice, but those who reconsult rarely have more significant illness warranting antibiotics. Knowledge of factors that predict patient-initiated reconsultation may allow clinicians to address specific issues during the initial consultation that could reduce reconsultations. Thirty-three per cent of a cohort of 431 LRTI patients in a randomised controlled trial reconsulted. Excluding 35 patients with GP-requested reconsultation left 28% (112/396) with a patient-initiated reconsultation during 28-day follow-up. Patient-reported dyspnoea and concerns that persisted after the initial consultation independently predicted patient-initiated reconsultation.

【 授权许可】

Unknown