Determinants of Frequent Attendance in Primary Care. Study Protocol for a Systematic Review of Longitudinal Studies

Hajek, André; Kretzler, Benedikt; König, Hans‐Helmut

doi:10.3390/ijerph17103710

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…Hence, in this current work we used a HCU tool originally developed by Stuhldreher et al [ 18 ] and refined by Hohls et al [ 19 ]. Additional details are provided by Hajek et al [ 20 ]. It was also used in previous research (e.g., [ 17 , 19 ]).…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Hajek

Kretzler

König

2021

IJERPH

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Background: A systematic review synthesizing studies examining the determinants of dental service use drawing on the (extended) Andersen model is lacking. Hence, our purpose was to fill this knowledge gap; Methods: Three established electronic databases (PubMed, PsycInfo, as well as CINAHL) were searched. Observational studies focusing on the determinants of dental service use drawing on the Andersen model were included; Results: In sum, 41 studies have been included (ten studies investigating children/adolescents and 31 studies investigating adults). Among children, particularly higher age (predisposing characteristic), higher income (enabling resource) and more oral health problems (need factor) were associated with increased dental service use. Among adults, findings are, in general, less consistent. However, it should be noted that one half of the studies found an association between increased education (predisposing characteristic) and increased dental service. In general, study quality was rather high. However, it should be noted that most studies did not report how they dealt with missing data; Conclusions: Our systematic review revealed that all components (i.e., predisposing characteristics, enabling resources and need factors) of the Andersen model tend to be associated with dental service use among children, whereas the findings are more mixed among adults. In conclusion, beyond need factors, dental service use also tend to be driven by other factors. This may indicate over—or, more likely—underuse of dental services and could enrich the inequality discussion in dental services research.

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Section: Methodsmentioning

confidence: 99%

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Hajek

Kretzler

König

2021

IJERPH

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“…Our systematic review is registered with the International Prospective Register of Systematic Reviews (PROSPERO, registration number: CRD42020178077). Moreover, a study protocol for our systematic review has recently been published ( 32 ).…”

Section: Methodsmentioning

confidence: 99%

Determinants of Frequent Attendance in Primary Care. A Systematic Review of Longitudinal Studies

2021

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Introduction: There is a lack of a systematic review synthesizing longitudinal studies investigating the determinants of frequent attendance in primary care. The goal of our systematic review was to fill this gap in knowledge.Methods: Three electronic databases (Medline, PsycINFO, and CINAHL) were searched. Longitudinal observational studies analyzing the predictors of frequent attendance in primary care were included. Data extraction covered methods, sample characteristics, and main findings. Selection of the studies, extracting the data and evaluation of study quality was performed by two reviewers. In the results section, the determinants of frequent attendance were presented based on the (extended) Andersen model.Results: In total, 11 longitudinal studies have been included in our systematic review. The majority of studies showed that frequent attendance was positively associated with the predisposing characteristics lower age, and unemployment. Moreover, it was mainly not associated with enabling resources. Most of the studies showed that need factors, and in particular worse self-rated health, lower physical functioning and physical illnesses were associated with an increased likelihood of frequent attendance. While most studies were of good quality, several of the included studies did not perform sensitivity analysis or described how they dealt with missing data.Discussion: Our systematic review showed that particularly lower age, unemployment and need factors are associated with the likelihood of becoming a frequent attender. Enabling resources are mainly not associated with the outcome measure. Future research should concentrate on the determinants of persistent frequent attendance due to the high economic burden associated with it.

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“…We will use an appropriate tool (i.e., HCU tool developed by Hohls et al [15]) to assess study quality. It has also been applied in recent studies [15,16]. We will apply this specific tool for reasons of clarity, applicability and succinctness.…”

Section: Assessment Of Study Quality/risk Of Biasmentioning

confidence: 99%

Determinants of Dental Service Use Based on the Andersen Model: A Study Protocol for a Systematic Review

2020

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Introduction: Drawing on the Andersen model, there is a large body of evidence examining the determinants of health care use, such as doctor visits or hospitalization. However, far less is known about the determinants of dental service use, explicitly using the Andersen model. Consequently, the aim of this systematic review is to summarize and critically analyze evidence from observational studies that examine the determinants of dental service use based on the Andersen model. Methods and analysis: The following electronic databases will be searched: PubMed, PsycInfo, and CINAHL. Our main inclusion criterion is: observational studies (cross-sectional and longitudinal) investigating the determinants of dental service use based on the Andersen model. Disease-specific samples will be excluded. Data extraction will concentrate on methods (such as measurement of dental service use), sample characteristics (such as age and gender) and key results. The study quality will be assessed using an appropriate tool. Three steps (selecting the studies, extracting the data and assessment of study conducted) will be performed by two reviewers. The findings will be displayed using figures, summary tables, narrative summaries and meta-analysis (if studies are deemed similar enough and of appropriate quality).

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Determinants of Frequent Attendance in Primary Care. Study Protocol for a Systematic Review of Longitudinal Studies

Cited by 3 publications

References 20 publications

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Determinants of Frequent Attendance in Primary Care. A Systematic Review of Longitudinal Studies

Determinants of Dental Service Use Based on the Andersen Model: A Study Protocol for a Systematic Review

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