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Table 2 Relative frequency of the most prevalent reasons for consultation from the GP’s perspective

From: Regional differences in reasons for consultation and general practitioners’ spectrum of services in northern Germany – results of a cross-sectional observational study

 

Total (n = 201)

Urban areas (n = 65)

Environs (n = 71)

Rural areas (n = 65)

p (C/R)

p (O/R)

Cardiovascular system, such as:

14.6%

14.8%

14.8%

14.3%

0.737

0.749

 high blood pressure

6.7%

6.8%

6.8%

6.4%

0.661

0.639

 coronary heart disease

2.6%

2.6%

2.8%

2.5%

0.682

0.355

 cardiac arrhythmia

2.0%

2.1%

1.9%

1.9%

0.653

0.959

 congestive heart failure

1.9%

1.7%

1.8%

2.1%

0.169

0.356

Musculoskeletal system, such as:

12.4%

10.5%

12.8%

13.8%

0.001

0.330

spinal disorders

6.7%

5.4%

7.5%

7.0%

0.006

0.487

arthrosis of the large joints

1.7%

1.7%

1.5%

2.0%

0.289

0.041

shoulder pain

1.5%

1.2%

1.3%

2.0%

0.001

0.003

Endocrine/metabolic/nutritional, such as:

12.2%

12.2%

12.5%

11.9%

0.816

0.662

 diabetes mellitus (all types)

3.7%

3.5%

3.8%

3.9%

0.304

0.838

 lipid metabolism disorder

2.8%

2.6%

3.0%

2.7%

0.891

0.544

 weight/dietary problems

2.6%

2.5%

2.8%

2.3%

0.791

0.306

 thyroid disorder

1.5%

1.7%

1.4%

1.5%

0.237

0.832

Respiratory system, such as:

11.2%

11.6%

11.8%

10.2%

0.151

0.072

acute infections of the respiratory tract

7.9%

7.9%

8.7%

6.9%

0.269

0.029

 chronic obstructive pulmonary disease

1.4%

1.6%

1.1%

1.4%

0.449

0.107

 asthma

1.0%

1.2%

0.9%

1.1%

0.499

0.395

Psychological disorders, such as:

10.8%

11.7%

10.3%

10.5%

0.206

0.834

 somatoform disorders

3.7%

4.0%

3.5%

3.6%

0.471

0.858

 mild mental disorders

2.8%

2.7%

2.9%

2.7%

0.887

0.602

 dementia

1.6%

1.6%

1.4%

1.9%

0.622

0.290

General/unspecific disorders, such as:

10.2%

10.7%

9.8%

10.2%

0.578

0.697

 general fatigue and weakness

3.8%

4.3%

3.5%

3.5%

0.128

0.982

 vertigo

2.0%

2.2%

2.0%

1.9%

0.310

0.974

lymph/leg oedema, chronic wounds

1.4%

1.2%

1.5%

1.7%

0.009

0.316

 adverse drug reaction

1.2%

1.3%

1.1%

1.1%

0.422

0.934

Digestive system, such as:

9.2%

9.1%

8.9%

9.7%

0.514

0.367

 total gastrointestinal tract

3.1%

3.1%

3.1%

3.1%

0.803

0.827

 upper gastrointestinal tract

2.9%

2.8%

3.0%

3.0%

0.571

0.879

 lower gastrointestinal tract

2.2%

2.2%

1.9%

2.4%

0.683

0.129

Social problems, such as:

5.0%

6.4%

4.6%

4.1%

0.001

0.407

 family, partnership problems

1.3%

1.5%

1.2%

1.1%

0.059

0.555

workplace issues, unemployment

1.2%

1.5%

1.1%

0.9%

0.001

0.198

Urological system, such as:

3.2%

3.2%

3.1%

3.4%

0.637

0.420

 urinary tract infection

1.4%

1.4%

1.5%

1.3%

0.902

0.382

 chronic kidney disease

1.1%

1.2%

0.8%

1.2%

0.869

0.112

Skin

2.8%

2.4%

3.1%

3.0%

0.074

0.759

Neurological system, such as:

2.7%

2.5%

2.8%

2.9%

0.166

0.824

 headache

1.8%

1.6%

1.9%

1.9%

0.142

0.777

Ear

1.7%

1.4%

1.6%

2.0%

0.005

0.140

Blood, blood-forming org., immune syst.

1.2%

1.3%

1.2%

1.2%

0.544

0.994

Eye

1.1%

0.9%

1.0%

1.2%

0.044

0.281

  1. C/R comparison “urban areas” vs. “rural areas”, O/R comparison “environs” vs. “rural areas”
  2. Statistically significant results (p ≤ 0.05) are shown in bold and italic