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 19 November 2017

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GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

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Findings of an interview-based study relating to patients' concerns

I made this slide almost 15 years ago as part of the research into dyspepsia undertaken in Southampton. Having discovered that only a minority of dyspeptic people in the community, even some of those with quite severe symptoms, ever consult a GP, we thought it was important to find out more about the factors associated with the decision to seek medical advice.

This slide summarises the findings of an interview-based study, in which we showed that patients' concerns about the seriousness of their condition, anxieties about heart disease, cancer generally and abdominal cancer in particular were all significantly associated with consultation. We have looked at other gastrointestinal problems in the same way and find that health beliefs and concerns are often more important determinants of seeking medical advice than other factors, such as symptom severity, which intuitively might have been thought to be most important.

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