Psychosocial and health belief variables associated 
with frequent attendance in primary care

Bellón, Juan Ángel; Delgado, Antonio; Luna, Juan de Dios; Lardelli, Pablo

doi:10.1017/s0033291799008995

Cited by 81 publications

(64 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…10,27,28 One study conducted in the city of Granada, Spain, found that chronic bronchitis was a very common disease among frequent attenders. 27 Al-Windi, by means of questionnaire surveys and computerised medical records, demonstrated that musculoskeletal, cardiopulmonary, and head symptom groups were significantly related to high past and prospective primary care consultation rates. 28 The main difference between the present study and previous ones is related to definitions of frequent attendance.…”

Section: Comparison With Existing Literaturementioning

confidence: 99%

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

Luciano¹,

Fernández²,

Pinto‐Meza³

et al. 2010

Br J Gen Pract

View full text Add to dashboard Cite

The diversity of definitions of frequent attendance in the literature hampers comparison of their precision, validity, and associated factors. AimTo examine different definitions of frequent attendance in order to identify the sociodemographic and clinical factors associated with frequent attendance in primary care, according to each definition. Design of studyOne-phase cross-sectional study. SettingSeventy-seven primary care centres in Catalonia, Spain. MethodA total of 3815 primary care patients were interviewed between October 2005 and March 2006. Three definitions of frequent attendance were tested: (1) frequent attenders as the top 25% and the top 10% consulting patients; (2) frequent attenders as the top 25% and the top 10% consulting patients stratified by age and sex; and (3) frequent attenders as the top 25% and the top 10% consulting patients stratified by the presence of physical/mental conditions (patients with only mental disorders, with only chronic physical conditions, with comorbid conditions, and with no condition). Multilevel logistic regressions were used. ResultsThe following factors were systematically related to frequent attender status: being on sick leave, being born outside of Spain, reporting mental health problems as the main reason for consulting, and having arthritis/rheumatism, or bronchitis. Major depression was related to frequent attendance in two of the three definitions. The factor 'GP' was related to frequent attendance when the top decile cut-off point was used. The models with a 10% cut-off point were more discriminative than those with a 25% cut-off point: the area under the receiver operating characteristic curve for models with a 25% cut-off and a 10% cut-off ranged between 0.71 (95% confidence interval [CI] = 0.70 to 0.73) and 0.75 (95% CI = 0.74 to 0.77) and between 0.79 (95% CI = 0.78 to 0.81) and 0.85 (95% CI = 0.83 to 0.86), respectively. ConclusionThe way frequent attendance is defined is of crucial importance. It is recommended that a more discriminative definition of frequent attendance is used (the top 10%).

show abstract

Section: Comparison With Existing Literaturementioning

confidence: 99%

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

Luciano¹,

Fernández²,

Pinto‐Meza³

et al. 2010

Br J Gen Pract

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…They show more family dysfunction [11], and are more likely to be divorced or widowed [7,9]. They are clinically heterogeneous exhibiting higher rates of non disease-specific physical and chronic illness [7,[11][12][13]. Higher rates of FA are found in association with mental illness [11,[14][15][16][17][18][19], the likelihood of FA increasing with anxiety disorder by a factor of 1.14 in a multi-adjusted model [19].…”

Section: Introductionmentioning

confidence: 99%

“…They are clinically heterogeneous exhibiting higher rates of non disease-specific physical and chronic illness [7,[11][12][13]. Higher rates of FA are found in association with mental illness [11,[14][15][16][17][18][19], the likelihood of FA increasing with anxiety disorder by a factor of 1.14 in a multi-adjusted model [19]. FAs also have higher rates of depressive symptoms [15,16,20,21], as well as somatoform symptoms or disorders [20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Frequent attendance in family practice and common mental disorders in an open access health care system

Norton

David

Roquefeuil

et al. 2012

Journal of Psychosomatic Research

View full text Add to dashboard Cite

“…Patients with a high risk of psychiatric disturbance were excluded. There are indications that these patients perceive symptoms more serious and perceive greater need to consult a GP than patients with a low risk [39]. So, the differences between patients on the one hand, and GPs and practice staff on the other hand, we assessed in our study might be slightly underestimated.…”

Section: Strength and Limitations Of The Studymentioning

confidence: 85%

Views on respiratory tract symptoms and antibiotics of Dutch general practitioners, practice staff and patients

Duijn

Kuyvenhoven

Schellevis

et al. 2006

Patient Education and Counseling

View full text Add to dashboard Cite

Objectives: To explore views on respiratory tract symptoms (cough, sore throat and earache) and antibiotics of GPs, practice staff, and patients. Methods: In a nationwide study, 181 GPs, 204 practice staff members and 1250 patients from 90 practices participated by answering 14 items relating to views on respiratory tract symptoms and antibiotics in a written questionnaire. Differences in means were compared. Results: Patients more than GPs endorsed the seriousness of respiratory tract symptoms, the need to consult a GP, the need to prescribe antibiotics, and the ability of antibiotics to speed up recovery. GPs were more than patients convinced of the self-limiting character of respiratory tract symptoms and of the fact that antibiotics have side effects. Practice staff took a middle ground in most of these views. Conclusions: Differences between GPs, practice staff and patients must be taken into account when exploring patients' complaints and advising on treatment. Education and knowledge programmes for practice staff might be advocated. #

show abstract

Psychosocial and health belief variables associated with frequent attendance in primary care

Abstract: Our findings document the association of psychosocial factors and primary health care use. We suggest that the effective management of mental health problems from a family-based approach may reduce primary health care high use.

Cited by 81 publications

References 45 publications

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

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

Frequent attendance in family practice and common mental disorders in an open access health care system

Views on respiratory tract symptoms and antibiotics of Dutch general practitioners, practice staff and patients

Contact Info

Product

Resources

About