Frequent attendance in primary care: Comparison and implications of different definitions

British Journal of General Practice

Volumn 60, Issue 571, 2010, Pages 95-100

  Luciano, Juan V ^a   Fernández, Ana ^a   Pinto Meza, Alejandra ^a   Luján, Leila ^b   Bellón, Juan A ^c,d   Garcia Campayo, Javier ^e,f   Peñarrubia, María T ^g,h   Fernández, Rita ^g,h   Sanavia, Marta ^h   Blanco, Maria E ^h   Haro, Josep M ^i,j   Palao, Diego J ^g   Serrano Blanco, Antoni ^a  

^a Urgencies and Partial Hospitalization Unit   (Spain)

^b Sant Joan de Deu Hospital Fundación Salud y Comunidad   (Spain)

^c RedIAPP   (Spain)

^d UNIVERSITY OF MÁLAGA   (Spain)

^e Somatoform Disorders Unit   (Spain)

^f HOSPITAL UNIVERSITARIO MIGUEL SERVET   (Spain)

^g Centro de Salud 'Bartomeu Fabrés Anglada' ^*  (Spain)

^h Centro de Salud 'Bartomeu Fabrés Anglada'   (Spain)

ⁱ Fundacion Sant Joan de Deu   (Spain)

^j CENTRO DE INVESTIGACIÓN BIOMÉDICA EN RED DE SALUD MENTAL CIBERSAM   (Spain)

more..

Author keywords

Chronic illness; Frequent attendance; Health services; Mental disorders; Primary health care; Utilisation

Indexed keywords

ADULT; AGED; ARTHRITIS; ARTICLE; BRONCHITIS; COMORBIDITY; CONSULTATION; DOCTOR PATIENT RELATION; FEMALE; GENERAL PRACTICE; HEALTH SERVICE; HUMAN; MAJOR CLINICAL STUDY; MAJOR DEPRESSION; MALE; MENTAL DISEASE; PRIMARY MEDICAL CARE; RHEUMATIC DISEASE; SPAIN; ATTITUDE TO HEALTH; CHRONIC DISEASE; CLINICAL TRIAL; COMPARATIVE STUDY; CROSS-SECTIONAL STUDY; MIDDLE AGED; MULTICENTER STUDY; NOMENCLATURE; PATIENT ATTITUDE; STATISTICS;

ADULT; AGED; ATTITUDE TO HEALTH; CHRONIC DISEASE; CROSS-SECTIONAL STUDIES; FAMILY PRACTICE; FEMALE; HEALTH SERVICES MISUSE; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; PATIENT ACCEPTANCE OF HEALTH CARE; SPAIN; TERMINOLOGY AS TOPIC; YOUNG ADULT;

EID: 76249133105     PISSN: 09601643     EISSN: None     Source Type: Journal    
DOI: 10.3399/bjgp10X483139     Document Type: Article

References (31)

1. Vedsted P, Christensen MB. Frequent attenders in general practice care: a literature review with special reference to methodological considerations. Public Health 2005; 119(2): 118-137.
2. Neal RD, Heywood PL, Morley S, et al. Frequency of patients' consulting in general practice and workload generated by frequent attenders: comparisons between practices. Br J Gen Pract 1998; 48(426): 895-898.
3. Báez K, Aiarzaguena JM, Grandes G, et al. Understanding patient-initiated frequent attendance in primary care: a case-control study. Br J Gen Pract 1998; 48(437): 1824-1827.
4. Lefevre F, Reifler D, Lee P, et al. Screening for undetected mental disorders in high utilizers of primary care services. J Gen Intern Med 1999; 14(7): 425-431.
5. Menchetti M, Cevenini N, De Ronchi D, et al. Depression and frequent attendance in elderly primary care patients. Gen Hosp Psychiatry 2006; 28(2): 119-124.
6. Ronalds C, Kapur N, Stone K, et al. Determinants of consultation rate in patients with anxiety and depressive disorders in primary care. Fam Pract 2002; 19(1): 23-28.
7. Vedsted P, Fink P, Olesen F, Munk-Jørgensen P. Psychological distress as a predictor of frequent attendance in family practice: a cohort study. Psychosomatics 2001; 42(5): 416-422.
8. Levinson CM, Druss BG. Health beliefs and depression in a group of elderly high utilizers of medical services. Gen Hosp Psychiatry 2005; 27(2): 97-99.
9. Roberts SJ. Psychosocial assessment of the high utilizer of occupational health services. AAOHN J 1990; 38(2): 62-66.
10. Foster A, Jordan K, Croft P. Is frequent attendance in primary care disease-specific? Fam Pract 2006; 23(4): 444-452.
11. Gill D, Sharpe M. Frequent consulters in general practice: a systematic review of studies of prevalence, associations and outcome. J Psychosom Res 1999; 47(2): 115-130.
12. Luciano JV, Serrano-Blanco A, Grupo DASMAP. Los hiperfrecuentadores en Atención Primaria: perfil sociodemográfico, caracteristicas clínicas y propuesta de una nueva definición [Frequent user patients in primary care: Sociodemographic profile, clinical characteristics, and a proposed new definition], Aten Primaria 2008; 40(12): 631-632.
13. Ciechanowski PS, Katon WJ, Russo JE. Depression and diabetes: impact of depressive symptoms on adherence, function, and costs. Arch Intern Med 2000; 160(12): 3278-3285.
14. Serrano-Blanco A, Palao DJ, Luciano JV, et al. Prevalence of mental disorders in primary care: Results from the Diagnosis and Treatment of Mental Disorders in Primary Care Study (DASMAP). Soc Psychiatry Psychiatr Epidemiol 2009; 19 May epub ahead of print.
15. First MB, Spitzer RL, Gibbon M, Williams JB. Structured Clinical Interview for Axis I DSM-IV Disorders, Research Version (SCID-RV). Washington, DC: American Psychiatric Press Inc, 1996.
16. Sheehan DV, Lecrubier Y, Sheehan KH, et al. The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998; 59(suppl 20): 22-33.
17. Ferrando L, Franco AL, Soto M, et al. MINI International Neuropsychiatric Interview. Spanish version 5.0.9. DSM-IV. Madrid: Instituto IAP, 1998.
18. Chisholm D, Knapp MRJ, Knudsen HC, et al. Client Socio-Demographic and Service Receipt Inventory - European Version: development of an instrument for international research. EPSILON Study 5. European Psychiatric Services: Inputs Linked to Outcome Domains and Needs. Br J Psychiatry Suppl 2000; (39): s28-s33.
19. Guo G, Zhao H. Multilevel modeling for binary data. Annu Rev Sociol 2000; 26: 441-162.
20. Mickey RM, Greenland S. The impact of confounder selection criteria on effect estimation. Am J Epidemiol 1989; 129(1): 125-137.
21. Snijders TAB, Bosker RJ. Multilevel analysis. An introduction to basic and advanced multilevel modelling. London: Sage Publications, 1999.
22. Bhandari A, Wagner T. Self-reported utilization of health care services: improving measurement and accuracy. Med Care Res Rev 2006; 63(2): 217-235.
23. Kersnik J, Svab I, Vegnuti M. Frequent attenders in general practice: quality of life, patient satisfaction, use of medical services and GP characteristics. Scand J Prim Health Care 2001; 19(3): 174-177.
24. Neal RD, Heywood PL, Morley S. Frequent attenders' consulting patterns with general practitioners. Br J Gen Pract 2000; 50(461): 972-976.
25. Al-Windi A, Elmfeldt D, Svärdsudd K. The influence of sociodemographic characteristics on health care utilisation in a Swedish municipality. Ups J Med Sci 2004; 109(1): 33-42.
26. Scaife B, Gill P, Heywood P. Socio-economic characteristics of adult frequent attenders in general practice: secondary analysis of data. Fam Pract 2000; 17(4): 298-304.
27. Bellón JA, Delgado A, De Dios Luna J, Lardelli P. Psychosocial and health belief variables associated with frequent attendance in primary care. Psychol Med 1999; 29(6): 1347-57.
28. Al-Windi A. The influence of complaint symptoms on health care utilisation, medicine use, and sickness absence. A comparison between retrospective and prospective utilisation. J Psychosom Res 2005; 59(3): 139-146.
29. National Institute of Health and Clinical Excellence. Depression: management of depression in primary and secondary care. Clinical guideline 23. London: NICE; 2004.
30. Schulze B. Stigma and mental health professionals: a review of the evidence on an intricate relationship. Int Rev Psychiatry 2007; 19(2): 137-55.
31. Bellón JA, Rodríguez-Bayón A, de Dios Luna, J, Torres-González F. Successful GP intervention with frequent attenders in primary care: randomised controlled trial. Br J Gen Pract 2008; 58(550): 324-330.