PMID: 8969705Dec 1, 1996Paper

Sex differences in health problems, diagnostic testing, and referral in primary care

The Journal of Family Practice
M J StoverinckC V Weel

Abstract

The aim of the study was to investigate sex differences in health problems and in the use of referrals for additional diagnostic procedures, specialists, and paramedical care in the primary care setting. Data stored from 1988 to 1992 by the continuous morbidity registration project of the department of general practice at Nijmegen University were used. The study population consisted of about 60,000 general practice male and female patients of all ages. Recorded health problems, diagnostic investigations, and referrals to specialists were assessed and analyzed. Health problems were categorized into diagnostic rubrics according to the International Classification of Health Problems in Primary Care (ICHPCC-2). Women presented with more health problems (2286 vs 1598 per 1000 patients per year) and made greater use of secondary medical care (603 vs 376 referred diagnoses per 1000 patients per year) than men, especially in the age group of 25 to 44 years. The category of screening and health education accounted for more than 30% of the sex difference with reference to the diagnostic rubrics overall. When this category was combined with obstetrical diagnoses (9.4%) and diseases of the genitourinary system (18.1%), 60% of the sex diffe...Continue Reading

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