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Among 932 index consultations with a PA, 229 (24.6%) had a planned re-consultation, while this was the case for 214 out of 1153 (18.6%) index consultations with a GP.
Little et al's 19 study showed a significant increase in attendance in the month after index consultations in the intervention group (RR 1.53 (95% CI 1.03 to 2.27)).
Antibiotic prescribing for study patients by this subset of general practitioners at index consultations was similar to all their 325 patients registered with lower respiratory tract infection on the international classification primary care database (table 5).
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Of these, 52 (91.2%) patients subsequently consulted within three months of the index consultation.
A total of 514 patients (24.6%) re-consulted within 14 days for the same or linked problem to the index consultation (the primary outcome).
Index consultation was included in the two years after index.
Health anxiety scores dropped significantly from index consultation to later follow-up in all diagnostic groups.
All patients received a questionnaire by mail at three, 12, and 24 months after the index consultation.
The overall health care costs and use of primary care for the period of three years preceding the index consultation through two years after index was quite constant for all patient groups (data not shown).
Functioning related to mental health did not improve significantly over time in the mild and severe Health anxiety patients, whereas the DSM-IV Hypochondriasis patients improved statistically significantly after the index consultation (Table 3 and Figure 3).
The former group's use was statistically significantly different from that of the latter group for all types of health care use displayed in Table 5, except for general hospital and psychiatric care after the index consultation.
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