Rural/urban differences in accounts of patients' initial decisions to consult primary care

Health Place. 2006 Jun;12(2):210-21. doi: 10.1016/j.healthplace.2004.11.007.


In the UK, patients in urban areas consult primary health care more than rural patients for both trivial and serious conditions. This study, involving focus groups and interviews, examined rural/urban differences in accounts of patients' intentions around initial decisions to consult general practice. Findings suggest 'relationships' between doctors and patients and easier access to appointments could affect consulting in rural areas, while decision-making for urban patients tended to be more consumerist. Perceptions about access to different health services meant rural patients' decision-making in out-of-hours emergencies was complex. Rural/urban differences in demand could be affected by change in UK primary care provision.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Decision Making
  • Female
  • Focus Groups
  • Geography
  • Health Services Accessibility
  • Humans
  • Intention*
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care / ethnology
  • Patient Acceptance of Health Care / psychology*
  • Primary Health Care / statistics & numerical data*
  • Rural Population*
  • Scotland
  • Transportation
  • Urban Population*