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Patients' utilisation of choice varied by specialty.
The statistically significant univariate association between education and utilisation of choice disappeared in logistic regression (Table 2), unlike the association with awareness of choice.
The present study provides no explanation for this difference, but women are hospitalized more often than men due to childbirth, and a longer average lifespan etc. and this greater experience may facilitate utilisation of choice.
GPs may be reluctant to provide advice to patients and promote utilisation of choice, because this task competes with other tasks; they do not consider this task a part of their job [ 4, 30]; consider this task too time-consuming [ 4]; distrust data published by the providers [ 29], or want to avoid being blamed by patients for presenting faulty data [ 23].
Questionnaire studies of Danish inpatients' awareness and utilisation of choice found a higher overall awareness of freedom of choice (more than 80%) than the present study of outpatients [ 27, 32- 34], even though the study was performed within the same health care system.
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Nine years after the introduction of free choice of public hospital/outpatient clinic in Denmark, outpatients' awareness and utilisation of free choice of health care provider was low.
Outpatients' awareness and utilisation of free choice of health care provider was low.
Respondents' awareness and utilisation of free choice of hospital was analysed by gender, education, and employment by a univariate chi-square test.
Reported utilisation of free choice was also low in patients referred to outpatient clinics in neurology, while utilisation was high in patients referred to ophthalmology (where awareness also was high).
In 2002 three of the 38 questions in the survey concerned outpatients' awareness and utilisation of their freedom of choice of hospital and their reported reasons for choosing the outpatient clinic.
At the second selection stage the inclusion criteria were that the paper had to present a model of factors associated with the utilisation or choice of CAM.
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