Help Seeking: How, Where, Why, Wither?

  • Nigel C. H. Stott


The patient’s decision to seek help is often made against a fairly complex background and yet those who are consulted can be surprisingly limited by their poor insight into the help-seeking process.

“Patients come to see me because I’m the best doctor in town” said one flambuoyant colleague, to which one of his patients retorted under her breath “Only because you are most easily available.”


Traditional Healer Consultation Rate Home Remedy Sickness Certification Minor Illness 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Anderson JAD, Buck D, Danaher KM, Fry J (1977) Users and non-users of doctors — implication for self-care. J Roy Coll Gen Pract 27:155–160Google Scholar
  2. Anderson JE, Morrell DC, Avery AJ, Watkins CJ (1980) Evaluation of a patient education manual. Br Med J 281:924–926PubMedCrossRefGoogle Scholar
  3. Bain DJG, Philip AE (1975) Going to see the doctor — attendances by members of 100 families in their first year in a new town. J Roy Coll Gen Pract 25:821–827Google Scholar
  4. Baker CD (1976) Non-attenders in general practice. J Roy Coll Gen Pract 26:404–409Google Scholar
  5. Balint M (1964) The doctor, his patient and the illness. Pitman Medical, LondonGoogle Scholar
  6. Banks M, Beresford D, Morrell D, Waller J, Watkins C (1975) Factors influencing demand for primary medical care in women aged 20–44 years. Intern J Epidemiol 4:189–195CrossRefGoogle Scholar
  7. Bice TW, White KL (1969) Factors related to the use of health services — an international comparative study. Med Care 7:124–133PubMedCrossRefGoogle Scholar
  8. Blaxter M, Paterson E (1982) Mothers and daughters. A three-generation study of health attitudes and behaviour. Heinemann, LondonGoogle Scholar
  9. Blumhagen D (1980) Hypertension: a folk illness with a medical name. Culture, Med Soc 4:197–227Google Scholar
  10. Cartwright Anne (1979) Minor illness in the surgery. In: McCarthy M (ed) Management of minor illness. King Edward’s Hospital Fund, London, pp 11–21Google Scholar
  11. Collins E, Klein R (1980) Equity and the NHS: self-reported morbidity, access and primary care. Br Med J 281:1111–1115PubMedCrossRefGoogle Scholar
  12. Cosminsky S (1975) Changing food and medical beliefs and practices in a Guatemalan community. Ecol Food Nutr 4:183–191CrossRefGoogle Scholar
  13. Crombie DL, Pinsent RJFH, Lambert DM, Birch D (1975) Comparison of first and second national morbidity surveys. J Roy Coll Gen Pract 25:874–878Google Scholar
  14. Danaher K (1979) Education for self-care. In: McCarthy M (ed) Management of minor illness. King Edward’s Hospital Fund, London, pp 69–86Google Scholar
  15. Elliott-Binns CP (1973) An analysis of lay medicine. J Roy Coll Gen Pract 23:255–264Google Scholar
  16. Fitton F, Acheson HWK (1979) The doctor-patient relationship. HMSO, LondonGoogle Scholar
  17. Forster DP (1976) Social class differences in sickness and GP consultation. Health Trends 8:29–32Google Scholar
  18. Helman C (1978) Feed a cold, starve a fever — folk models of infection in an English suburban community. Culture, Med Soc 2:107–137Google Scholar
  19. Hicks D (1976) Primary health care. HMSO, LondonGoogle Scholar
  20. Hood JE, Farmer R (1974) A comparative study of frequent and infrequent attenders at a general practice. Intern J Nursing Studies 11:147–153CrossRefGoogle Scholar
  21. Horder J, Horder E (1954) Illness in general practice. Practitioner 173:177–187PubMedGoogle Scholar
  22. Howie JGR (1977) Patterns of work. In: Fry J (ed) Trends in general practice. British Medical Journal Press, London, pp 22–35Google Scholar
  23. Hulka B, Kuppar LL, Cassell JC (1972) Determinants of physician utilisation. Med Care 10:300–309PubMedCrossRefGoogle Scholar
  24. Huygen FJA (1978) Family medicine. Dekker and Van de Vegt, NijmegenGoogle Scholar
  25. Illich I (1977) Medical nemesis: the expropriation of health. Pelican, LondonGoogle Scholar
  26. Journal of the Royal College of General Practitioners (1982) Editorial. J Roy Coll Gen Pract 32:396–397Google Scholar
  27. Katz AH (1979) Self-help health groups. Soc Sci Med 13A:491–494PubMedGoogle Scholar
  28. Kennedy I (1980) The Reith lectures. BBC, LondonGoogle Scholar
  29. Kessel N (1979) Reassurance. Lancet i:1128–1133CrossRefGoogle Scholar
  30. Kessel N, Shepherd M (1965) The health and attitudes of people who seldom consult a doctor. Med Care 3:6–10CrossRefGoogle Scholar
  31. Kleinman A (1979) Patients and healers in the context of culture. University of California Press, BerkeleyGoogle Scholar
  32. Kohn R, White KL (eds) (1976) Health care — an international study. Oxford University Press, LondonGoogle Scholar
  33. Koumjian K (1981) The use of Valium as a form of social control. Soc Sci Med 15E:245–249Google Scholar
  34. Lancet (1978) Stress, distress and drug treatment (editorial). Lancet ii: 1347–1348Google Scholar
  35. Locker D (1981) Symptoms and illness. The cognitive organisation of disorder. Tavistock, LondonGoogle Scholar
  36. Mabry JH (1964) Lay concepts of etiology. J Chron Dis 17:371–386PubMedCrossRefGoogle Scholar
  37. McKinlay JB (1973) Social networks, lay consultation, help-seeking behaviour. Soc Forces 51(3):275–292CrossRefGoogle Scholar
  38. McNaughton J (1975) Applied nutrition programmes. The past as a guide for the future. Food Nutr 1(3): 17–23Google Scholar
  39. Marsh GN (1977) Curing minor illness in general practice. Br Med J 2:1267–1269PubMedCrossRefGoogle Scholar
  40. Marsh GN (1980) The practice brochure: a patient’s guide to team care. Br Med J 281:730–732PubMedCrossRefGoogle Scholar
  41. Mechanic D (1978) Effects of psychological distress on perception of physical health and use of medical psychiatric facilities. J Human Stress 4:26–32PubMedGoogle Scholar
  42. Melville A (1980) Job satisfaction in general practice: implications for prescribing. Soc Sci Med 14A:495–499Google Scholar
  43. Morrell DC, Avery AJ, Watkins CJ (1980) The management of minor illness. Br Med J 280:769–771PubMedCrossRefGoogle Scholar
  44. Newell KW (1975) Health by the people. WHO, GenevaGoogle Scholar
  45. Office of Home Economics (1975) Health care dilemma or “Am I Kranken, doctor?” Office of Home Economics, LondonGoogle Scholar
  46. Otto R (1979) Negative and positive life experience among men and women in selected occupations, symptom awareness and visits to the doctor. Soc Sci Med 13A:151–164PubMedGoogle Scholar
  47. Pill R, Stott NCH (1982) Concepts of illness causation and responsibility: some preliminary data from a sample of working class mothers. Soc Sci Med 16:43–52PubMedCrossRefGoogle Scholar
  48. Polliack MR (1971) The relationship between Cornell Medical Index scores and attendance rates J Roy Coll Gen Pract 21:453Google Scholar
  49. Sevenhuysen GP, Burgess AP (1980) Evaluation of nutrition interventions. An annotated bibliography and review of methodologies and results. ESN/MISC/80/4. FAO, UNO, Rome.Google Scholar
  50. Stacey M (1978) Sociological concepts of health and disease and critiques of such concepts. SSRC Symposium, SheffieldGoogle Scholar
  51. Stacey M (1980) Realities for change in child health care: existing patterns and future possibilities Br Med J 280:1512–1515PubMedCrossRefGoogle Scholar
  52. Stimson C, Webb B (1975) In: Going to see the doctor. Routledge and Kegan Paul London, pp 28–33Google Scholar
  53. Stott HH (1976) The Valley Trust socio-medical project for the promotion of health in a less developed rural area. MD Thesis, University of Edinburgh.Google Scholar
  54. Taylor PJ (1968) Personal factors associated with sickness absence. Br J Indust Med 25:106Google Scholar
  55. Taylor S (1954) Good general practice. British Medical Association, London, p 420.Google Scholar
  56. Wadsworth MEJ, Butterfield WJH, Blaney R (1971) Health and sickness: the choice of treatment. Tavistock, LondonGoogle Scholar
  57. White KL, Williams TF, Greenberg BG (1961) The ecology of medical care. NZ J Med 265:885–892CrossRefGoogle Scholar
  58. Wilson JL (1977) Family utilisation of a medical centre. J Farn Pract 5:991–996Google Scholar
  59. Wolinsky FD (1978) Assessing the effects of predisposing, enabling and illness-morbidity characterisation on health service utilisation. J Health Soc Behaviour 19:384–396CrossRefGoogle Scholar
  60. Young JC (1980) A model of illness decisions in a Tarascan town. Am Ethnol 7:1006–1031CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1983

Authors and Affiliations

  • Nigel C. H. Stott
    • 1
  1. 1.Department of General Practice Welsh National School of MedicineThe Health CentreWalesUK

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