PERCEPTIONS OF DISEASE AND ILLNESS AMONG FREQUENT ATTENDERS OF PUBLIC HEALTH CLINICS IN ISRAEL
Keywords:Disease, Illness, Frequent Attenders, Basic-Ph Model, primary care
AbstractThe significance of these disease representations is their contribution to understanding the meaning and definition one ascribes to the illness, as well as how one copes with and adjusts to it (Leventhal et al., 1980). Frequent attenders consume a great deal of medical care and create a burden for the treating physician and the healthcare system (Bass & May 2002). The purposes of the study were to characterize the perception of disease and illness among frequent attenders and to understand the meaning of sense of health as perceived by frequent attenders. In this paper will present the findings of ten semi-structured in-depth interviews. The research findings show how perceptions of disease and illness, as well as deficient coping with illness among frequent attenders, constitute an element that disrupts normal life and requires considerable use of healthcare services due to the resulting sense of discomfort and pressure. Use of an intervention model that enhances one's mental resilience appears to be a possible solution for reducing the phenomenon of frequent attenders. Topics for future researches: applied research to examine the impact of the model on the mental resilience of the frequent attenders.
Antonovsky, A. (1998). Sautogenesis and wellness: origins of health and well-being. Megamot, 1(2), 170-181.
Adair, P., Dempster, M., & Dorrian, A. (2009). Adjustment to inflammatory bowel disease: the relative influence of illness perceptions and coping. Inflammatory Bowel Diseases, 15(1), 47-55.
Bass, C. & May, S. (2002). Chronic multiple functional somatic symptoms. BMJ, 325- 323.
Bergh, H., Baigi, A., Fridlund, B. & Marklund, B. (2006). Life events, social support and sense of coherence among frequent attenders in primary health care. Public Health, 120(3), 229-236.
Bijsterbosch, J., Hampson, E.C., Kaptein, A., Kloppenburg, M., & Kroon, M.H. (2010). Using the common sense model of illness perceptions to examine osteoarthritis change: a 6-year longitudinal study. Health Psychology, 29(1), 56-64.
Broadbent, E. (2010) Illness perceptions and health: innovations and vlinical ap-plications. Social and Personality Psychology Compass, 4(4), 256-266.
Buick, D., Cameron, D.L., Horne, R., Moss-Morris, R., Petrie. J.K., & Weinman, J. (2002). The revised illness perception questionnaire (IPQ-R). Psychology and Health, 17(1), 1-16.
Cabassa, J.L., Hansen. C.M., Johnson-Dwight, M., Lagomasino, T.I., & Xin, B. (2008). Measuring Latinos` perceptions of depression: a confirmatory factor analysis of the illness perception questionnaire. Cultural Diversity and Ethnic Minority Psychology, 14(4), 377-384.
Hagger, M., & Orbell, S. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology and Health, 18(2), 141-184.
Hirsikangas, S., Kanste, O., Korpelainen, J. & Kyngäs, H. (2016) .Adherence to health regimens among frequent attenders of Finnish healthcare. International Journal of Circumpolar Health. Retrieved 16 August 2017 from: http://journals.co-action.net/ index.php/ijch/article/view/30726
Engel, G. (1979) The biopsychosocial model and the education of health professionals. General Hospital Psychiatry, 1(2), 156–165.
Fortune, D.G., Richards, H.L., Griffiths, C.E., & Main, C.J. (2002). Psychological stress, distress and disability in patients with psoriasis: consensus and variation in the contribution of illness perceptions, coping and alexithymia. British Journal of Clinical Psychology, 41(2), 157-174.
Jopson, N.M., & Moss-Morris, R. (2003). The role of illness severity and illness representations in adjusting to multiple sclerosis. Journal of Psychosomatic Research, 54, 503-511.
Leventhal, H., Meyer, D. & Nerenz, D. (1980) The common sense representation of illness danger. In: S. Rachman (Ed.). Medical Psychology, Vol. 2 (pp. 7-30). Pergamon Press, New York.
Naidoo, J. & Wills, J. (Ed.) (2009). Foundations for Health Promotion (3e ed.) Public Health and Health Promotion. Baillière Tindall/Elsevier, 3-5.
Ogege, S.O. (2010). Effects of ill health and morality in the sick role model. Journal of Innovative Research in Management and Humanities, 1(1), 33-42.
Petrie, J.K., & Weinman, J. (2006). Why illness perceptions matter. Clinical Medicine, 6(6), 536-539.
Petrie, J.K., & Weinman, J. (2012). Patients’ perceptions of their illness. Current Directions in Psychological Science, 21(1), 60-65.
Pinquart, M., & Frohlich, C. (2009). Psychosocial resources and subjective well-being of cancer patients. Psychol Health. 24(4), 407-421.
Reis, S. (2009). The “frequent traveller” in primary health care and in the IDF – past, present, future. Harefuah Hatzva'it, 6(17), 27. [Hebrew]
Rennemark, M., Holst, G., Fagerstrom, C., & Halling, A. (2009). Factors related to frequent usage of the primary healthcare services in old age: findings from the Swedish National Study on Aging and Care. Health Soc Care Community, 17(3), 301-11.
Scharloo, M., Kaptein, A.A., Weinman, J., Bergman, W., Vermeer, B.J., & Rooijmans, H.G. (2000). Patients' illness perceptions and coping as predictors of functional status in psoriasis: a 1-year follow-up. British Journal of Dermatology, 142(5), 899-907.
Shadmi, C. (2003). Chapter one: Coping in an emergency 6 (Toolkit). Retrieved 16 August 2017 from: http://retro.education.gov.il/cherum/download/kelim1.pdf. [Hebrew]
Shkedi, A. (2015). Words that try to touch: qualitative research – theory and ap-plication. Ramot, Tel Aviv. [Hebrew]
Smits, F.T., Brouwer, H.J., ter Riet, G. & van Weert, H.C. (2009). Epidemiology of frequent attenders: a 3-year historic cohort study comparing attendance, morbidity and prescriptions of one-year and persistent frequent attenders. BMC Public Health, 24, 9-36.