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J R Coll Gen Pract. 1980 September; 30(218): 551–554.
PMCID: PMC2159711

The 'iceberg' of illness and 'trivial' consultations


The medical symptom 'iceberg' and 'trivia' were defined in terms of people's own perceptions of their symptoms and their subsequent referral behaviour. The data were collected by household interviews of patients registered at a health centre and included information on personal and environmental characteristics. Bivariate and multivariate analysis was used to explore associations between those who were part of the symptom 'iceberg' or 'trivia', and factors which might have caused such incongruous referral behaviour.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Butler JR. Illness and the sick role: an evaluation in three communities. Br J Sociol. 1970 Sep;21(3):241–261. [PubMed]
  • Cauffman JG, Lloyd JS, Lyons ML, Cortese PA, Beckwith RL, Petit DW, Wehrle PF, McBroom E, McIntire JR. A study of health referral patterns. Am J Public Health. 1974 Apr;64(4):331–356. [PubMed]
  • Fabrega H, Jr, Moore RJ, Strawn JR. Low income medical problem paients: some medical and behavioral features. J Health Soc Behav. 1969 Dec;10(4):334–343. [PubMed]
  • Hannay DR. Symptom prevalence in the community. J R Coll Gen Pract. 1978 Aug;28(193):492–499. [PMC free article] [PubMed]
  • Hannay DR, Maddox EJ. Incongruous referrals. Lancet. 1975 Dec 13;2(7946):1195–1197. [PubMed]
  • Hannay DR, Maddox EJ. Missing patients on a health centre file. Community Health (Bristol) 1977 May;8(4):210–216. [PubMed]
  • Hyman MD. Some links between economic status and untreated illness. Soc Sci Med. 1970 Nov;4(4):387–399. [PubMed]
  • Jacob A. The social background of the 'artificial practice'. J R Coll Gen Pract. 1969 Jan;17(78):12–16. [PMC free article] [PubMed]
  • Ludwig EG, Gibson G. Self perception of sickness and the seeking of medical care. J Health Soc Behav. 1969 Jun;10(2):125–133. [PubMed]
  • McFarlane AH, O'Connell BP. Morbidity in family practice. Can Med Assoc J. 1969 Sep 6;101(5):259–263. [PMC free article] [PubMed]
  • Marsh GN. "Curing" minor illness in general practice. Br Med J. 1977 Nov 12;2(6097):1267–1269. [PMC free article] [PubMed]
  • Ridley-Smith RM. Why the patients came. N Z Med J. 1973 Sep 26;79(499):240–246. [PubMed]
  • Thomas KB. Temporarily dependent patient in general practice. Br Med J. 1974 Mar 30;1(5908):625–626. [PMC free article] [PubMed]
  • Wesiack W. Problematik und Methodik von Verlaufsuntersuchungen aus der Praxis. Munch Med Wochenschr. 1971 Jul 9;113(28):1023–1028. [PubMed]

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