Interventions on frequent attenders in primary care. A systematic literature review.

Abstract:

OBJECTIVE:To analyse which interventions are effective in influencing morbidity, quality of life, and healthcare utilization of frequently attending patients (FAs) in primary care. METHODS:A systematic literature search was performed for articles describing interventions on FAs in primary care (Medline, Embase, and PsycINFO). Outcomes were morbidity, quality of life (QoL), and use of healthcare. Two independent assessors selected all randomized clinical trials (RCT) and assessed the quality of the selected RCTs. Results. Five primary care based RCTs were identified. Three RCTs used frequent attendance to select patients at risk of distress, major depression, and anxiety disorders. These RCTs applied psychological and psychiatric interventions and focused on undiagnosed psychiatric morbidity of FAs. Two of them found more depression-free days and a better QoL after treating major depressive disorder in FAs. No other RCT found any positive effect on morbidity or QoL. Two RCTs studied an intervention which focused on reducing frequent attendance. No intervention significantly lowered attendance. Due to the difference in study settings and the variation in methods of selecting patients, meta-analysis of the results was not possible. CONCLUSION:No study showed convincing evidence that an intervention improves QoL or morbidity of frequent attending primary care patients, although a small effect might be possible in a subgroup of depressed frequent attenders. No evidence was found that it is possible to influence healthcare utilization of FAs.

authors

Smits FT,Wittkampf KA,Schene AH,Bindels PJ,Van Weert HC

doi

10.1080/02813430802112997

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

111-6

issue

2

eissn

0281-3432

issn

1502-7724

pii

793338557

journal_volume

26

pub_type

杂志文章,评审
  • Genetic consultations in primary care: GPs' responses to three scenarios.

    abstract:OBJECTIVE:This study investigated general practitioners' responses to three scenarios in which patients consulted regarding genetic conditions. DESIGN:Self-completed postal study. Setting. Primary care in Northern Ireland. SUBJECTS:Questionnaire were distributed to all the GPs in Northern Ireland (n = 1079). A total ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430510015259

    authors: McCann S,MacAuley D,Barnett Y

    更新日期:2005-06-01 00:00:00

  • The profiles of health care utilization among a non-depressed population and patients with depressive symptoms with and without clinical depression.

    abstract::Objective: To examine health service (HS) utilization profiles among a non-depressive population and patients with depressive symptoms (DS) with and without clinical depression. Design, subjects and setting: The study population was based on primary care patients with DS scoring ≥10 in the 21-item Beck Depression Inve...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1639904

    authors: Tusa N,Koponen H,Kautiainen H,Korniloff K,Raatikainen I,Elfving P,Vanhala M,Mäntyselkä P

    更新日期:2019-09-01 00:00:00

  • Quality of out-of-hours telephone triage by general practitioners and nurses: development and testing of the AQTT - an assessment tool measuring communication, patient safety and efficiency.

    abstract:OBJECTIVE:To develop a valid and reliable assessment tool able to measure quality of communication, patient safety and efficiency in out-of-hours (OOH) telephone triage conducted by both general practitioners (GP) and nurses. DESIGN:The Dutch KERNset tool was translated into Danish and supplemented with items from oth...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1568712

    authors: Graversen DS,Pedersen AF,Carlsen AH,Bro F,Huibers L,Christensen MB

    更新日期:2019-03-01 00:00:00

  • Improving health centre physicians' child-psychiatric networks.

    abstract:OBJECTIVE:To study changes in Finnish GPs' child-psychiatric networks over a one-year period. DESIGN:Postal questionnaire. SETTING:Health centres in the area of Tampere University Hospital with a catchment population of one million. INTERVENTION:A one-off course in the field of child psychiatry was held 56 times in ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430510018374

    authors: Heikkinen A,Puura K,Mattila K

    更新日期:2005-03-01 00:00:00

  • Lipid-lowering drugs as primary prevention in general practice: do patients reach guideline goals and continue treatment? ADDITION Denmark.

    abstract:OBJECTIVE:To describe lipid-lowering treatment in a primary care setting and how well target levels are reached. Furthermore, the aim is to describe long-term adherence to treatment. DESIGN:Population-based cross-sectional study with follow-up. SETTING:A total of 139 general practices from three of five Danish region...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2011.629148

    authors: Graversen L,Christensen B,Borch-Johnsen K,Lauritzen T,Sandbaek A

    更新日期:2011-12-01 00:00:00

  • Peer comparison feedback to achieve rational and economical drug therapy in general practice: a controlled intervention study.

    abstract::The aim of the study was to describe and evaluate a controlled intervention to achieve more rational and economical drug therapy in general practice. The strategy was based on peer comparison feedback and encouragement of local peer group discussions. Seven districts comprising 53, and 6 districts comprising 55 eligib...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439209014040

    authors: Lassen LC,Kristensen FB

    更新日期:1992-03-01 00:00:00

  • Determinants of adherence to recommendations for depressed elderly patients in primary care: a multi-methods study.

    abstract:OBJECTIVE:It is logical that tailoring implementation strategies to address identified determinants of adherence to clinical practice guidelines should improve adherence. This study aimed to identify and prioritize determinants of adherence to six recommendations for elderly patients with depression. DESIGN AND SETTIN...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2014.984961

    authors: Aakhus E,Oxman AD,Flottorp SA

    更新日期:2014-12-01 00:00:00

  • Health for all through research on primary care.

    abstract::This paper first explores what Health for All (HFA) means as a policy goal. It calls for major changes in health care. In the European Region of WHO, 38 targets show how approaches to health problems, lifestyles, environment, health care and support measures (e.g., planning, management and training) should be changed ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439209014026

    authors: Vuori H

    更新日期:1992-03-01 00:00:00

  • Patients' fears, worries, and concerns when visiting an out-patient clinic.

    abstract::In an out-patient clinic for specialised medical care, 30 patients were questioned about their worries prior to the visit. The purpose of the study was to obtain basic knowledge about emotional experiences of patients visiting a doctor. The theoretical viewpoint was that of social interaction and social construction o...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438909088664

    authors: Andersson-Segesten K,Erichsen M,Westerlund A,Ojerskog I

    更新日期:1989-12-01 00:00:00

  • Factors related to consultation time: experience in Slovenia.

    abstract:OBJECTIVE:Consultation time has a serious impact on physicians' work and patient satisfaction. No systematic study of consultation time in general practice in Slovenia has yet been carried out. The aim of the present study was to measure consultation time, to identify the factors influencing it, and to study the influe...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430701760789

    authors: Petek Ster M,Svab I,Zivcec Kalan G

    更新日期:2008-01-01 00:00:00

  • First four years of operation of a municipal acute bed unit in rural Norway.

    abstract:OBJECTIVE:To evaluate the use of a small municipality acute bed unit (MAU) in rural Norway resulting from the Coordination reform regarding occupancy-rate, patient characteristics and healthcare provided during the first four years of operation. Further, to investigate whether implementation of the new municipal servic...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2018.1523993

    authors: Schmidt AK,Lilleeng B,Baste V,Mildestvedt T,Ruths S

    更新日期:2018-12-01 00:00:00

  • Ways of experiencing asthma management. Variations among general practitioners in Sweden.

    abstract:OBJECTIVE:To identify and describe variations in ways of experiencing asthma management among general practitioners (GPs) in Sweden. DESIGN:Descriptive and explorative study using a phenomenographic approach. Semi-structured tape-recorded face-to-face interviews, focusing on the GP's own experiences regarding asthma m...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134399750002458

    authors: Lundborg CS,Wahlström R,Dall'Alba G

    更新日期:1999-12-01 00:00:00

  • Adherence to guidelines in patients with chronic heart failure in primary health care.

    abstract:OBJECTIVE:To describe adherence to international guidelines for chronic heart failure (CHF) management concerning diagnostics, pharmacological treatment and self-care behaviour in primary health care. DESIGN:A cross-sectional descriptive study of patients with CHF, using data obtained from medical records and a postal...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2017.1397253

    authors: Giezeman M,Arne M,Theander K

    更新日期:2017-12-01 00:00:00

  • Predictors for spread of clinical group A streptococcal tonsillitis within the household.

    abstract:OBJECTIVE:The objectives of this study were to explore how frequently group A streptococci (GAS) were giving additional cases of clinical GAS tonsillitis within the households and to analyse predictors for such spread of GAS infection. SETTING:Two Norwegian general practice populations in Stokke and Kongsberg communit...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813430410006729

    authors: Lindbaek M,Høiby EA,Lermark G,Steinsholt IM,Hjortdahl P

    更新日期:2004-12-01 00:00:00

  • A few more minutes make a difference? The relationship between content and length of GP consultations.

    abstract:OBJECTIVES:To investigate the relationship between the length of a medical consultation in a general practice setting and the biopsychosocial information obtained by the physician, and to explore the characteristics of young physicians obtaining comprehensive, especially psychosocial information. DESIGN:A prospective,...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2012.751698

    authors: Gude T,Vaglum P,Anvik T,Bærheim A,Grimstad H

    更新日期:2013-03-01 00:00:00

  • Research and development work in primary health care in Sweden.

    abstract::In this report a review is given on research and development work in primary health care (PHC) in Sweden. PHC has by tradition been very weak in Sweden. As a result of the new Health Care Act of 1983, however, PHC has entered an era of rapid development. A brief historical description of primary health care research a...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438509013926

    authors: Haglund BJ

    更新日期:1985-05-01 00:00:00

  • Integrated education of health care professionals applied to social medicine in primary health care.

    abstract::A Regional Health University is planned at the University of Linköping, Sweden. To evaluate new educational principles, a trial project was carried out in which medical and nursing students trained together in a two-week full-time course aimed at patient-oriented clinical social medicine and epidemiological field work...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438509013940

    authors: Bergman-Larsson K,Foldevi M,Gregersen NP,Hartvig B

    更新日期:1985-09-01 00:00:00

  • Vaginal application of lactobacilli in the prophylaxis of recurrent lower urinary tract infection in women.

    abstract:OBJECTIVE:To examine whether vaginal application of Lactobacillus casei v. rhamnosus reduces the reinfection rate in cystitis-prone women. DESIGN:A controlled, randomized, double-blind clinical trial. SETTING:Division for General Practice, University of Bergen, Norway. INTERVENTION:Vaginal application of lactobacill...

    journal_title:Scandinavian journal of primary health care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.3109/02813439409029247

    authors: Baerheim A,Larsen E,Digranes A

    更新日期:1994-12-01 00:00:00

  • GPs and lesbian women in the consultation: issues of awareness and knowledge.

    abstract:OBJECTIVE:To study awareness of having lesbian women in the consultation among general practitioners (GPs) and their knowledge of lesbian health-related issues. DESIGN:A mailed questionnaire study using closed and open-ended questions, with an analysis using both quantitative and qualitative methods. SETTING:The city...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134302321004845

    authors: Westerståhl A,Segesten K,Björkelund C

    更新日期:2002-12-01 00:00:00

  • Mental impairment and driving licences for elderly people--a survey among Norwegian general practitioners.

    abstract:OBJECTIVE:Study how GPs assess mental function when a health certificate for elderly drivers has to be issued. DESIGN:Postal questionnaire survey. SETTING:Nationwide survey. SUBJECTS:Random sample of 532 Norwegian general practitioners, response rate 54%. MAIN OUTCOME MEASURES:Open and closed questions. RESULTS:Va...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439608997089

    authors: Braekhus A,Engedal K

    更新日期:1996-12-01 00:00:00

  • Dental health behaviour among 25-44-year-old Danes.

    abstract::The purpose of the present investigation was to describe dental health behaviour in an adult Danish population and to study whether oral hygiene habits and consumption of sweets were affected by living conditions. The study group comprised 749 persons in the age group 25-44 years (82% of the original sample) and data ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438609013971

    authors: Petersen PE

    更新日期:1986-02-01 00:00:00

  • Quality assurance in primary medical care.

    abstract::Some general ideas of the evaluation of the work of the physician applicable also to primary care physicians are taken up in this article. The presentation is not trying to be a complete review of the topic. It tries, however, to direct attention to the importance of the subject from the point of view of the practisin...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438309038480

    authors: Kekki P

    更新日期:1983-01-01 00:00:00

  • Patterns of abuse of the elderly in their own homes as reported by district nurses.

    abstract::This study aimed at describing patterns of abuse of elderly persons living in their homes as experienced by district nurses in a county of Sweden. 12% of the district nurses (n = 153) reported 30 cases. Those abused were 78.7 years old (mean) and half of them had disturbed memory and mental state and were mostly isola...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813439308994912

    authors: Saveman BI,Hallberg IR,Norberg A,Eriksson S

    更新日期:1993-06-01 00:00:00

  • Understanding women in pain. New pathways suggested by Umeå researchers: qualitative research and feminist perspectives.

    abstract::A substantial proportion of GPs' patients are women who suffer from "unexplained" pain conditions, often from the musculoskeletal system. Few medical findings are revealed, although the symptoms lead to extensive suffering and disability. Two experienced Swedish GPs, Katarina Hamberg and Eva E Johansson, took their ow...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/028134398750002945

    authors: Malterud K

    更新日期:1998-12-01 00:00:00

  • The quality of laboratory analyses in the primary health care. A proficiency survey on hemoglobin, glucose, leucocyte count and sedimentation rate (ESR) measurements.

    abstract::Freshly prepared quality control materials of different kinds were distributed by cars to all the public health centers, sanatoria and mother and child stations in Oslo. The recipients, who were unaware of the correct values, analysed each sample once without delay and reported the results back to our laboratory. A la...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438609014825

    authors: Landaas S,Juell A

    更新日期:1986-09-01 00:00:00

  • Impact of comorbidity on the individual's choice of primary health care provider.

    abstract::OBJECTIVE. This study examined whether age, gender, and comorbidity were of importance for an individual's choice of listing with either a public or a private primary health care (PHC) practice. DESIGN AND SETTING. The study was a register-based closed cohort study in one private and one public PHC practice in Bleking...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813432.2011.562363

    authors: Zielinski A,Håkansson A,Beckman A,Halling A

    更新日期:2011-06-01 00:00:00

  • Validation of the Zung self-rating depression scale (SDS) in older adults.

    abstract::Objective: The main objective of this study was to investigate the psychometric properties of the Zung Self-Rating Depression Scale (SDS) and evaluate screening parameters capability of the SDS with the Beck Depression Inventory (BDI-21) among the elderly population. Design: A population-based study Setting: Community...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1639923

    authors: Jokelainen J,Timonen M,Keinänen-Kiukaanniemi S,Härkönen P,Jurvelin H,Suija K

    更新日期:2019-09-01 00:00:00

  • Infectious diseases in Greenlanders of Upernavik.

    abstract::During one year, 1979-80, all the contacts between the 836 inhabitants of Upernavik town and the local medical officers were recorded. In the 737 native Greenlanders 1006 contacts (41%) were caused by infectious diseases, representing 705 episodes of disease. The number of contacts per episode of disease was similar i...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438509013939

    authors: Bjerregaard P

    更新日期:1985-09-01 00:00:00

  • Colonization with potentially pathogenic respiratory tract bacteria. A household study.

    abstract::A group of 235 persons (180 adults and 55 children 0-15 years old) recorded symptoms of upper respiratory tract infection daily during two three-month periods (autumn 1986 and spring 1987). Samples for culture were taken from the nasopharynx and throat once during each period. Fifteen per cent of asymptomatic subjects...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.3109/02813438909088665

    authors: Schwan A,Eriksson M,Eriksson BM,Carlson U,Petterson E,Sandblom M,Tibblin G

    更新日期:1989-12-01 00:00:00

  • Visit patterns at primary care centres and individual blood pressure level - a cross-sectional study.

    abstract:OBJECTIVE:Hypertension is a major cause of cardiovascular disease. Nevertheless, blood pressure (BP) is often inadequately treated. We studied visit patterns at primary health care centres (PHCCs) and their relation to individual BP control. DESIGN AND SETTING:Cross-sectional register-based study on all patients with ...

    journal_title:Scandinavian journal of primary health care

    pub_type: 杂志文章

    doi:10.1080/02813432.2019.1569369

    authors: Ödesjö H,Adamsson Eryd S,Franzén S,Hjerpe P,Manhem K,Rosengren A,Thorn J,Björck S

    更新日期:2019-03-01 00:00:00