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| [http://localhost/wiki/index.php/Hiperfreq%C3%BCentadors WIKI FEINA] | | [http://localhost/wiki/index.php/Hiperfreq%C3%BCentadors WIKI FEINA] |
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| =Paraules Mesh=
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| ==Cerques fetes==
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| *"Primary Health Care"[Mesh] AND "Health Services Misuse/statistics and numerical data"[Mesh]
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| *"Primary Health Care/utilization"[Mesh] AND "Models, Theoretical"[Mesh] AND "Cross-Sectional Studies"[Mesh]
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| *"Primary Health Care/utilization"[Mesh] AND Attitude to Health [mesh]
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| *"Primary Health Care/utilization"[Mesh] AND "Models, Theoretical"[Mesh] AND"Cohort Studies"[Mesh]
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| *"Primary Health Care/utilization"[Mesh] AND "Religion and Psychology"[Mesh]
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| *"Primary Health Care/utilization"[Mesh] AND "Age Factors"[Mesh] AND "Models, Theoretical"[Mesh]
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| *"Primary Health Care/utilization"[Mesh] AND "Age Factors"[Mesh] AND "Health Services Research"[Mesh]
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| *"Primary Health Care/utilization"[Mesh] AND Capitation Fee[Mesh]
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| *"Primary Health Care/utilization"[Mesh] AND Chronic Disease/epidemiology [Mesh]
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| *"Primary Health Care/utilization"[Mesh] AND Chronic Disease/psychology
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| *"Primary Health Care/utilization"[Mesh] AND Educational Status
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| *"Primary Health Care/utilization"[Mesh] AND Health Status[mesh] AND "Health Services Research"[Mesh]
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| *"Primary Health Care/utilization"[Mesh] AND Morbidity[Mesh] AND Health Services Research[mesh]
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| *"Primary Health Care/utilization"[Mesh] AND "Patient Acceptance of Health Care/statistics and numerical data"[Mesh] AND Health Services Research[mesh]
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| *"Primary Health Care/utilization"[Mesh] AND "Appointments and Schedules"[Mesh] AND "Models, Theoretical"[Mesh]
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| ==Freqüentació==
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| Ambulatory Care/utilization*
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| Appointments and Schedules
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| Continuity of Patient Care/statistics & numerical data*
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| Health Services/utilization*
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| Health Services Misuse/statistics & numerical data
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| Health Services Needs and Demand*/statistics & numerical data
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| Office Visits/statistics & numerical data*
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| Office Visits/utilization*
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| Primary Health Care*/statistics & numerical data
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| Primary Health Care/utilization*
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| utilization
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| Utilization Review
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| Utilization Review/statistics & numerical data
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| Workload*
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| ==Factors associats==
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| Affective Symptoms/epidemiology
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| '''Age Factors'''
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| Attitude to Health
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| Attitude of Health Personnel*
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| '''Capitation Fee'''
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| Catholicism
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| '''Chronic Disease'''
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| '''Chronic Disease/epidemiology'''
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| '''Chronic Disease/psychology'''
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| Depression/epidemiology*
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| '''Educational Status'''
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| Family Characteristics*
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| Family Characteristics*
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| Family Practice*
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| Family Practice/organization & administration
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| Family Practice/statistics & numerical data*
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| Family Relations
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| Health Behavior
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| Health Care Rationing*
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| Health Services Accessibility*
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| Health Services for the Aged/utilization*
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| Health Services Needs and Demand
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| '''Health Status'''
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| Jews/psychology
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| Jews/statistics & numerical data
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| Marital Status
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| Mental Disorders/diagnosis
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| Mental Disorders/epidemiology
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| Mental Disorders/psychology
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| Models, Organizational*
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| '''Morbidity'''
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| Motivation
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| Neurotic Disorders/epidemiology*
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| Outpatients/classification*
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| Outpatients/psychology
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| Patient Acceptance of Health Care
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| Patient Acceptance of Health Care/ethnology
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| Patient Acceptance of Health Care/psychology*
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| Patient Acceptance of Health Care/statistics & numerical data*
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| Patients/psychology*
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| Patient Satisfaction
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| Personality Assessment
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| Personality Inventory
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| Poverty Areas*
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| Physician-Patient Relations*
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| Physicians, Family/utilization*
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| Physician's Practice Patterns/statistics & numerical data*
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| Practice Management, Medical
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| Practice Management, Medical/organization & administration*
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| Protestantism
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| Psychology, Social
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| Religion and Psychology*
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| Risk Factors
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| Self Assessment (Psychology)
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| Severity of Illness Index
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| Sex Factors
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| Sick Role*
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| Social Class
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| Social Support
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| Socioeconomic Factors
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| Urban Health
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| ==Mètodes==
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| Case-Control Studies
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| Chi-Square Distribution
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| Cross-Sectional Studies
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| Cohort Studies
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| Follow-Up Studies
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| Confidence Intervals
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| Health Care Surveys
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| Health Services Research
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| Health Surveys
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| Interviews
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| Likelihood Functions
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| Logistic Models
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| Models, Theoretical
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| Odds Ratio
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| Prospective Studies
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| Qualitative Research
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| Questionnaires
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| Regression Analysis
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| Retrospective Studies
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| =Estat actual del tema=
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| ==Definició d'hiperfreqüentador==
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| *Majors de 14 anys i amb més de 8 visites/metge/any.
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| *Número de visites superior a 2 desviacions estàndard de la mitja de freqüentació.
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| ==Perfil de l'hiperfreqüentador==
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| *Són una part important de la demanda, son un 12-21% de la població que usa el 46-50% de les consultes.
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| *Edat mitja.
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| *Predomini femení.
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| *Múltiples problemes de salut tant físics com mentals.
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| *Valorar si cal recollir si el pacient és pensionista o no. En l'article <cite>guerra_ap</cite>, ho tenen en compte, però no sé en què es basen.
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| ==Factors que condicionen la hiperfreqüentació==
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| *Característiques de la població.
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| **L'edat cada cop més gran de la població.
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| **Estat de salut de la població.
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| **Segons la importància que se li dóna a la malaltia <cite>guerra_ap</cite>. Sobretot les cardiovasculars, osteoarticulars, però també les cròniques i mentals.
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| **El nivell socioeconòmic podria influir en la HF dels serveis públics, ja que se sposa que els rics van a la privada <cite>guerra_ap</cite>.
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| **Falta de suport social o familiar augmenten la HF <cite>guerra_ap</cite>.
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| *Factors del professional.
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| **No influeix la satisfacció amb el seu metge o infermera.
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| *Factors de la organització.
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| **Un augment d'accessibilitat augmenta la freqüentació segons els propis pacients <cite>guerra_ap</cite>.
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| **La satisfacció amb el centre podria augmentar la HF <cite>guerra_ap</cite>.
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| =Metodologia utilitzada=
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| *Per als factors que determinen l'hiperfreqüentació:
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| **Metodologia qualitativa amb grups focals <cite>guerra_ap</cite>.
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| =Bibliografia=
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| ==Llegits==
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| *Factors explicatius de la HF amb metodologia qualitativa <cite>guerra_ap</cite>.
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| ==Pendents de llegir==
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| *Definició HF <cite>lourenzo_econh, neal_brgen, wilson_brgen, howe_brgen, neal_brgen3, anderson_scan, knishkowy_jfp</cite>.
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| *Descripció de la freqüentació <cite>crampton_nzeland, busato_famprac, lou_ap, arenas_ap, capitation, sidorov, carlson_bmc, papa_bmc, suominen_bmc, halloran_austr, flemming, sihvonen_scand, ovaskainen_hp</cite>.
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| *Variabilitat <cite>guerra_ap2, bolanos_fp</cite>.
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| *Demanda induïda <cite>bellon_ap</cite>.
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| *Perfil de l'HF <cite>byrne_annals, kapur_brgen, bergh_scand, vedsted_publich, bellon_psychol, dowrick_brgen, ortega_ap, frostholm_psychosom, aguirre_ap, segovia_ap, orueta_ap, probst_fammed, rubio_ap, carlsson_scand</cite>.
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| *Factors explicatius de l'HF <cite>eggen_scand, kransic_dmb, foster_fp, vedsted_social, burgos_ap, smucker_jfm, kapur_psychol, mancera_ap, meer_psychosom, baez_ap, bago_hecon, crampton_nzeland2, bellon_gc, portella_gc, otero_ap, dovey_nzeland, conrad_jama, jyv, karlsson, parslow_soc, scott_hsrm, gross_wh, sutton_soc, mendoza_saudi, keene_jph</cite>, el model explicatiu d'Andersen <cite>andersen_beh</cite>, socio-economics <cite>pescosolido_sociol, martinez_ap, gomez_famprac</cite>, factors psicològics <cite>bebbington_psychol, thode_bgg, virtanen_bmc, have_psyepi, cort_ap pmid, korff_agp, lopez_ap</cite>, sistemes d'organització dels serveis sanitaris <cite>sominen_eurph</cite>, religió <cite>reindl_social</cite>.
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| *Metodologia <cite>vedsted_phealth</cite>:
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| **Estudis qualitatius <cite>neal_brgen2, hodgson_annals</cite>.
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| **Multivariant <cite>bellon_ap2</cite>.
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| ==Pendents de buscar==
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| *Referència 15, 22 de <cite>guerra_ap</cite>.
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| ==Referències==
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| <biblio>
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| #guerra_ap pmid=17669318
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| #byrne_annals pmid=12605196
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| #burgos_ap pmid=12812687
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| #andersen_beh pmid=7738325
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| #pescosolido_sociol Pescosolido B. ''[http://links.jstor.org/sici?sici=0002-9602%28199201%2997%3A4%3C1096%3ABRCTSD%3E2.0.CO%3B2-L Beyond Rational Choice: The Social Dynamics of How People Seek Help]''. The American Journal of Sociology, Vol. 97, No. 4, New Directions in the Sociology of Medicine. (Jan., 1992), pp. 1096-1138.
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| #kapur_brgen pmid=11593846
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| #bergh_scand pmid=14531510
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| #vedsted_publich pmid=11939384
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| #bellon_psychol pmid=10616940
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| #dowrick_brgen pmid=10897531
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| #neal_brgen pmid=9604412
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| #ortega_ap pmid=14967124
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| #smucker_jfm pmid=11674886
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| #kapur_psychol pmid=15099425
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| #mancera_ap pmid=11412559
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| #neal_brgen2 pmid=11050788
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| #hodgson_annals pmid=16046564
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| #have_psyepi pmid=16003591
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| #sominen_eurph pmid=15542872
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| #meer_psychosom pmid=9623879
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| #frostholm_psychosom pmid=16314606
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| #reindl_social pmid=14572925
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| #lourenzo_econh pmid=16127679
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| #aguirre_ap pmid=15225536
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| #wilson_brgen pmid=12830576
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| #howe_brgen pmid=12120728
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| #neal_brgen3 pmid=11224969
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| #baez_ap pmid=10413982
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| #segovia_ap pmid=9887577
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| #anderson_scan pmid=8919367
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| #orueta_ap pmid=8329552
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| #sihvonen_scand pmid=2284523
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| #bago_hecon pmid=16127676
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| #thode_bgg pmid=15768302
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| #virtanen_bmc pmid=17014702
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| #vedsted_social pmid=15177837
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| #probst_fammed pmid=12269538
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| #bebbington_psychol pmid=11097076
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| #crampton_nzeland pmid=17589550
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| #busato_famprac pmid=16115833
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| #crampton_nzeland2 pmid=11194763
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| #rubio_ap pmid=9931557
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| #bellon_gc pmid=8666513
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| #cort_ap pmid=8518351
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| #lopez_ap pmid=1420775
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| #portella_gc pmid=1295842
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| #otero_ap pmid=1504224
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| #dovey_nzeland pmid=1625824
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| #lou_ap pmid=2129725
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| #arenas_ap pmid=2129724
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| #martinez_ap pmid=2104132
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| #bellon_ap pmid=17020715
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| #bellon_ap2 pmid=1807435
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| #capitation pmid=16381327
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| #sidorov pmid=12068963
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| #guerra_ap2 pmid=10547919
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| #conrad_jama pmid=9516000
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| #carlson_bmc pmid=16483353
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| #carlsson_scand pmid=15370795
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| #gomez_famprac pmid=8872097
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| #korff_agp pmid=1550468
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| #jyv pmid=9800226
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| #karlsson pmid=7895972
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| #papa_bmc pmid=17081303
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| #suominen_bmc pmid=16952306
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| #halloran_austr pmid=16489377
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| #parslow_soc pmid=15351477
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| #scott_hsrm pmid=12626026
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| #gross_wh pmid=11708687
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| #sutton_soc pmid=10468392
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| #mendoza_saudi pmid=14666207
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| #flemming pmid=10165630
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| #vedsted_phealth pmid=15694959
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| #foster_fp pmid=16675502
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| #keene_jph pmid=15637107
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| #ovaskainen_hp pmid=14637008
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| #bolanos_fp pmid=12028800
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| #kransic_dmb pmid=9408740
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| #eggen_scand pmid=8484078
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| #knishkowy_jfp pmid=1985136
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| </biblio>
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