2009
DOI: 10.3399/bjgp09x395120
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Predictability of persistent frequent attendance: a historic 3-year cohort study

Abstract: Few patients who attend GP consultations frequently continue to do so long term. While transient frequent attendance may be readily explicable, persistent frequent attendance often is not. It increases GPs' workload while reducing work satisfaction. It is neither reasonable, nor efficient to target diagnostic assessment and intervention at transient frequent attenders. AimTo develop a prediction rule for selecting persistent frequent attenders, using readily available information from GPs' electronic medical r… Show more

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Cited by 38 publications
(49 citation statements)
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References 24 publications
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“…There was a very low recruitment rate in the pilot practice (only 11%), but recruitment improved for the remaining four practices (24%) as practices became more able to identify appointments due to routine monitoring and health checks. Although only a low proportion of FAs and NAs responded to the study, there is enough similarity with anonymised record based studies involving other varied practice samples [6,7,9,10,24] to believe that our results are representative of FAs in general.…”
Section: Study Strengths and Limitationsmentioning
confidence: 60%
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“…There was a very low recruitment rate in the pilot practice (only 11%), but recruitment improved for the remaining four practices (24%) as practices became more able to identify appointments due to routine monitoring and health checks. Although only a low proportion of FAs and NAs responded to the study, there is enough similarity with anonymised record based studies involving other varied practice samples [6,7,9,10,24] to believe that our results are representative of FAs in general.…”
Section: Study Strengths and Limitationsmentioning
confidence: 60%
“…[5] However, recent prospective research in Europe shows only one in seven frequently attending patients continue to attend primary care so frequently over the next two years. [6,7] Therefore psychological interventions might be best focussed on persistent frequent attenders (FAs) in primary care.…”
mentioning
confidence: 99%
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“…The threshold for FA (number of visits or percentage with highest attendance rates) and the time range varies considerably between studies [2,[4][5][6][7], leading to wide variations in rates, ranging from 2.7% of patients in a UK family practice [2] to 59.6% in Italy [8]. FA is higher in women [2,3,9] and in higher age groups [2,3], leading to a consensus definition of FA as the 10% age-and sex-stratified most frequent attenders (FAs) [4,7,10].…”
Section: Introductionmentioning
confidence: 99%
“…4 Therefore, we stated in a paper in this Journal that for GPs persistent frequent attending is of more importance and clinical usefulness than short-term frequent attending. 5 Unfortunately, the authors did not raise this issue in their paper. influence of the mass media.…”
Section: Lettersmentioning
confidence: 96%