Is frequent attendance of longer duration related to less transient episodes of care? A retrospective analysis of transient and chronic episodes of care.

Abstract:

OBJECTIVES:Frequent attenders (FAs) suffer more and consult general practitioners (GPs) more often for chronic physical and psychiatric illnesses, social difficulties and distress than non-FAs. However, it is unclear to what extent FAs present transient episodes of care (TECs) compared with non-FAs. DESIGN:Retrospective analysis of all episodes of care (ECs) in 15 116 consultations in 1 year. Reasons for encounter (RFEs) linked to patients' problem lists were defined as chronic ECs (CECs), other episodes as TECs. SETTING:1 Dutch urban primary healthcare centre served by 5 GPs. PARTICIPANTS:All 5712 adult patients were enlisted between 2007 and 2009. FAs were patients whose attendance rate ranked within the top decile of their sex and age group in at least one of the years between 2007 and 2009. OUTCOME MEASURES:Number of RFEs linked to TECs/CECs for non-FAs and 1-year (1yFAs), 2-year (2yFAs) and 3-year FAs (3yFAs), and the adjusted effect of frequent attendance of different duration on the number of TECs. RESULTS:The average number of RFEs linked to TECs (non-FAs 1.4; 3yFAs 7.3) and to CECs (non-FAs 0.9; 3yFAs 6.2) increased substantially with the duration of frequent attendance. The ratio of TECs to all ECs differed little for FAs (52-54%) and non-FAs (64%). Compared with non-FAs, the adjusted additional number of TECs was 3.4 (95% CI 3.2 to 3.7, 1yFAs), 6.6 (95% CI 6.1 to 7.0, 2yFAs) and 9.4 (95% CI 8.8 to 10.1, 3yFAs). CONCLUSIONS:FAs present more TECs and CECs with longer duration of frequent attendance. The constant ratio of TECs might be a sign of a low threshold for FAs to consult their GP. The large numbers of TECs in FAs might be associated with their high level of anxiety and low mastery. The consultation pattern of FAs may best be characterised by describing both TECs and CECs.

journal_name

BMJ Open

journal_title

BMJ open

authors

Smits FT,Brouwer HJ,Schene AH,van Weert HC,Ter Riet G

doi

10.1136/bmjopen-2016-012563

subject

Has Abstract

pub_date

2016-12-13 00:00:00

pages

e012563

issue

12

issn

2044-6055

pii

bmjopen-2016-012563

journal_volume

6

pub_type

杂志文章,多中心研究

相关文献

BMJ Open文献大全
  • Self-harm and social media: thematic analysis of images posted on three social media sites.

    abstract:OBJECTIVES:To explore the nature of images tagged as self-harm on popular social media sites and what this might tell us about how these sites are used. DESIGN:A visual content and thematic analysis of a sample of 602 images captured from Twitter, Instagram and Tumblr. RESULTS:Over half the images tagged as self-harm...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2018-027006

    authors: Shanahan N,Brennan C,House A

    更新日期:2019-02-19 00:00:00

  • Establishing integrated rural-urban cohorts to assess air pollution-related health effects in pregnant women, children and adults in Southern India: an overview of objectives, design and methods in the Tamil Nadu Air Pollution and Health Effects (TAPHE) s

    abstract:INTRODUCTION:In rapidly developing countries such as India, the ubiquity of air pollution sources in urban and rural communities often results in ambient and household exposures significantly in excess of health-based air quality guidelines. Few efforts, however, have been directed at establishing quantitative exposure...

    journal_title:BMJ open

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bmjopen-2015-008090

    authors: Balakrishnan K,Sambandam S,Ramaswamy P,Ghosh S,Venkatesan V,Thangavel G,Mukhopadhyay K,Johnson P,Paul S,Puttaswamy N,Dhaliwal RS,Shukla DK,SRU-CAR Team.

    更新日期:2015-06-10 00:00:00

  • Maternal alcohol use disorder and child school attendance outcomes for non-Indigenous and Indigenous children in Western Australia: a population cohort record linkage study.

    abstract:OBJECTIVES:Examine the relationship between maternal alcohol use disorder and child school attendance outcomes for non-Indigenous and Indigenous children in Western Australia. DESIGN:Population cohort study. SETTING:Routinely collected linked administrative health, education and child protection data. PARTICIPANTS:T...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2016-015650

    authors: Hafekost K,Lawrence D,O'Leary C,Bower C,Semmens J,Zubrick SR

    更新日期:2017-07-11 00:00:00

  • Studying Impact of Nutrition on Growth (SING): a prospective cohort for comparing the health outcomes of young children with the dietary quality score.

    abstract:INTRODUCTION:This study aims to explore the prospective association between the dietary quality (DQ) of preschoolers and their health status in Hong Kong, with the body mass index as the main outcome variable. METHODS AND ANALYSIS:This prospective cohort study has recruited 3539 children aged between 2 and 4 years old...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2017-018380

    authors: Lee A,Cheung CK,Lo K,Keung VM,Mui LW,Tam WWS

    更新日期:2017-11-08 00:00:00

  • Prevalence and trends of thinness, overweight and obesity among children and adolescents aged 3-18 years across Europe: a protocol for a systematic review and meta-analysis.

    abstract:INTRODUCTION:Increasing prevalence of both thinness and excess weight during childhood and adolescence is a significant public health issue because of short-term health consequences and long-term tracking of weight status. Monitoring weight status in Europe may serve to identify countries and regions where rates of the...

    journal_title:BMJ open

    pub_type: 杂志文章,meta分析

    doi:10.1136/bmjopen-2017-018241

    authors: Garrido-Miguel M,Cavero-Redondo I,Álvarez-Bueno C,Rodriguez-Artalejo F,Moreno Aznar L,Ruiz JR,Martinez-Vizcaino V

    更新日期:2017-12-21 00:00:00

  • Factors influencing the inclusion of complementary and alternative medicine (CAM) in undergraduate medical education.

    abstract::Objective To investigate the views and practices of UK medical schools regarding the inclusion (or exclusion) of complementary and alternative medicine (CAM) in undergraduate medical curricula. Design Survey (by email) of UK medical schools offering MBBS (or equivalent) degrees. Results The overall response rate was...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2011-000074

    authors: Smith KR

    更新日期:2011-06-08 00:00:00

  • Cost-effectiveness of planned birth in a birth centre compared with alternative planned places of birth: results of the Dutch Birth Centre study.

    abstract:OBJECTIVES:To estimate the cost-effectiveness of a planned birth in a birth centre compared with alternative planned places of birth for low-risk women. In addition, a distinction has been made between different types of locations and integration profiles of birth centres. DESIGN:Economic evaluation based on a prospec...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2017-016960

    authors: Hitzert M,Hermus MM,Boesveld II,Franx A,van der Pal-de Bruin KK,Steegers EE,van den Akker-van Marle EM

    更新日期:2017-09-11 00:00:00

  • Results dissemination of registered clinical trials across Polish academic institutions: a cross-sectional analysis.

    abstract:OBJECTIVES:To establish the rates of publication and reporting of results for interventional clinical trials across Polish academic medical centres (AMCs) completed between 2009 and 2013. We aim also to compare the publication and reporting success between adult and paediatric trials. DESIGN:Cross-sectional study. SE...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-034666

    authors: Strzebonska K,Wasylewski MT,Zaborowska L,Riedel N,Wieschowski S,Strech D,Waligora M

    更新日期:2020-01-22 00:00:00

  • Interventions to improve antimicrobial prescribing of doctors in training: the IMPACT (IMProving Antimicrobial presCribing of doctors in Training) realist review.

    abstract:INTRODUCTION:Antimicrobial resistance has been described as a global crisis-more prudent prescribing is part of the solution. Behaviour change interventions are needed to improve prescribing practice. Presently, the literature documents that context impacts on prescribing decisions, yet insufficient evidence exists to ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2015-009059

    authors: Wong G,Brennan N,Mattick K,Pearson M,Briscoe S,Papoutsi C

    更新日期:2015-10-22 00:00:00

  • Physical and mental health of women exposed to intimate partner violence in the 10 years after having their first child: an Australian prospective cohort study of first-time mothers.

    abstract:OBJECTIVE:To investigate mental and physical health of mothers exposed to recent and early postpartum intimate partner violence (IPV) in the 10 years after having their first child. DESIGN:Prospective pregnancy cohort study. SETTING:Women were recruited at six metropolitan public maternity hospitals in Melbourne, Aus...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2020-040891

    authors: Brown SJ,Conway LJ,FitzPatrick KM,Hegarty K,Mensah FK,Papadopoullos S,Woolhouse H,Giallo R,Gartland D

    更新日期:2020-12-21 00:00:00

  • Changing patterns of social inequalities in anaemia among women in India: cross-sectional study using nationally representative data.

    abstract:OBJECTIVES:To examine the patterns of social inequalities in anaemia over time among women of reproductive age in India. DESIGN:Repeated cross-sectional study using nationally representative data from the 1998/1999 and 2005/2006 National Family Health Surveys of India. Multivariate modified Poisson regression models w...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2012-002233

    authors: Balarajan YS,Fawzi WW,Subramanian SV

    更新日期:2013-03-19 00:00:00

  • Medical leadership: boon or barrier to organisational performance? A thematic synthesis of the literature.

    abstract:OBJECTIVE:The influx of management ideas into healthcare has triggered considerable debate about if and how managerial and medical logics can coexist. Recent reviews suggest that clinician involvement in hospital management can lead to superior performance. We, therefore, sought to systematically explore conditions tha...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-035542

    authors: Savage M,Savage C,Brommels M,Mazzocato P

    更新日期:2020-07-21 00:00:00

  • Provider perspectives on general practice in Henan, China: a mixed-methods study.

    abstract:OBJECTIVE:Since 2011 China's central government has committed to establishing a new 'general practitioner' (GP)-centred primary care system. To this end there have been great efforts to train an additional 300 000 GPs by 2020. This paper examines the perspective of practitioners in Henan, China, regarding general pract...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-036240

    authors: Zhu J,Ariana P

    更新日期:2020-02-03 00:00:00

  • The Veterans Metrics Initiative study of US veterans' experiences during their transition from military service.

    abstract:PURPOSE:Efforts to promote the health and well-being of military veterans have been criticised for being inadequately informed of veterans' most pressing needs as they separate from military service, as well as the programmes that are most likely to meet these needs. The current article summarises limitations of the cu...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2017-020734

    authors: Vogt D,Perkins DF,Copeland LA,Finley EP,Jamieson CS,Booth B,Lederer S,Gilman CL

    更新日期:2018-06-11 00:00:00

  • Comparative efficacy and acceptability of antidepressants in the long-term treatment of major depression: protocol for a systematic review and networkmeta-analysis.

    abstract:INTRODUCTION:Pharmacotherapy plays an important role in the treatment of major depression. At the initiation of antidepressant treatment, both improvement of symptoms in the short term and relapse prevention in the long term should be taken into account. However, there is insufficient evidence regarding the efficacy an...

    journal_title:BMJ open

    pub_type: 杂志文章,meta分析

    doi:10.1136/bmjopen-2018-027574

    authors: Shinohara K,Efthimiou O,Ostinelli EG,Tomlinson A,Geddes JR,Nierenberg AA,Ruhe HG,Furukawa TA,Cipriani A

    更新日期:2019-05-19 00:00:00

  • Adiposity change and mortality in middle-aged to older Chinese: an 8-year follow-up of the Guangzhou Biobank Cohort Study.

    abstract:OBJECTIVE:To examine the associations of change in body mass index (BMI) and waist circumference (WC) over an average of 4 years with subsequent mortality risk in middle-aged to older Chinese. DESIGN:Prospective cohort study based on the Guangzhou Biobank Cohort Study. SETTING:Community-based sample. PARTICIPANTS:17...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2020-039239

    authors: Huang YY,Jiang CQ,Xu L,Zhang WS,Zhu F,Jin YL,Thomas GN,Cheng KK,Lam TH

    更新日期:2020-12-04 00:00:00

  • From pain treatment to opioid dependence: a qualitative study of the environmental influence on codeine use in UK adults.

    abstract:OBJECTIVES:To investigate the views and experiences of people who use codeine in order to describe the 'risk environment' capable of producing and reducing harm. DESIGN:This was a qualitative interview study. Psychological dependence on codeine was measured using the Severity of Dependence Scale. A cut-off score of 5 ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2018-025331

    authors: Kinnaird E,Kimergård A,Jennings S,Drummond C,Deluca P

    更新日期:2019-04-03 00:00:00

  • Raised inflammatory markers as a predictor of one-year mortality: a cohort study in primary care in the UK using electronic health record data.

    abstract:OBJECTIVES:Identification of patients at increased mortality risk is important in the context of increasing multimorbidity and an ageing population, to help facilitate the planning and delivery of services. The aim of this study was to examine 1-year all-cause mortality in a cohort of primary care patients in whom infl...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-036027

    authors: Watson J,Whiting P,Salisbury C,Banks J,Hamilton W

    更新日期:2020-10-15 00:00:00

  • Comprehensive scoping review of health research using social media data.

    abstract:INTRODUCTION:The rising popularity of social media, since their inception around 20 years ago, has been echoed in the growth of health-related research using data derived from them. This has created a demand for literature reviews to synthesise this emerging evidence base and inform future activities. Existing reviews ...

    journal_title:BMJ open

    pub_type: 杂志文章,评审

    doi:10.1136/bmjopen-2018-022931

    authors: Taylor J,Pagliari C

    更新日期:2018-12-14 00:00:00

  • Wavelet coherence analysis of cerebral oxygenation signals measured by near-infrared spectroscopy in sailors: an exploratory, experimental study.

    abstract:OBJECTIVE:The objective of this study was to assess the effects of long-term offshore work on cerebral oxygenation oscillations in sailors based on the wavelet phase coherence (WPCO) of near-infrared spectroscopy (NIRS) signals. METHODS:The fatigue severity scale (FSS) was first applied to assess the fatigue level of ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2016-013357

    authors: Bu L,Li J,Li F,Liu H,Li Z

    更新日期:2016-11-03 00:00:00

  • Using a Delphi process to define priorities for prison health research in Canada.

    abstract:OBJECTIVES:A large number of Canadians spend time in correctional facilities each year, and they are likely to have poor health compared to the general population. Relatively little health research has been conducted in Canada with a focus on people who experience detention or incarceration. We aimed to conduct a Delph...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2015-010125

    authors: Kouyoumdjian FG,Schuler A,McIsaac KE,Pivnick L,Matheson FI,Brown G,Kiefer L,Silva D,Hwang SW

    更新日期:2016-01-14 00:00:00

  • Evaluating workforce developments to support children of mentally ill parents: implementing new interventions in the adult mental healthcare in Northern Norway.

    abstract:BACKGROUND:According to new Norwegian laws, mental healthcare for adults are obligated to assess all patients who are parents and to act on their children's needs. This article describes the study protocol of implementing the interventions Family Assessment and Child Talks for children of patients in the adult psychiat...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2011-000709

    authors: Reedtz C,Lauritzen C,van Doesum KT

    更新日期:2012-05-03 00:00:00

  • Prevalence of diabetes, pre-diabetes and associated risk factors: second National Diabetes Survey of Pakistan (NDSP), 2016-2017.

    abstract:OBJECTIVE:The second National Diabetes Survey of Pakistan (second NDSP) was planned to ascertain the updated prevalence of diabetes, pre-diabetes and associated risk factors at the national and provincial levels. RESEARCH DESIGN AND METHODS:The survey was conducted by using multistage clustering technique in all four ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2017-020961

    authors: Basit A,Fawwad A,Qureshi H,Shera AS,NDSP Members.

    更新日期:2018-08-05 00:00:00

  • The association between human herpesvirus infections and stroke: a systematic review protocol.

    abstract:INTRODUCTION:After primary infection, human herpesviruses establish latency and persist lifelong. Periodic virus reactivation can lead to serious inflammatory complications. Recent research suggests that herpesvirus reactivation may also be linked to acute stroke. An improved understanding of this relationship is vital...

    journal_title:BMJ open

    pub_type: 杂志文章,meta分析

    doi:10.1136/bmjopen-2017-016427

    authors: Forbes HJ,Benjamin L,Breuer J,Brown MM,Langan SM,Minassian C,Smeeth L,Thomas SL,Warren-Gash C

    更新日期:2017-05-29 00:00:00

  • Associations of disaster-related and psychosocial factors with changes in smoking status after a disaster: a cross-sectional survey after the Great East Japan Earthquake.

    abstract:OBJECTIVE:Few studies have comprehensively examined changes in smoking status and related factors after a disaster. We examined these factors among residents of an evacuation area in Fukushima after the Great East Japan Earthquake. METHODS:The study participants included 58 755 men and women aged ≥20 years who partici...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2017-018943

    authors: Nakano H,Ohira T,Maeda M,Yabe H,Ohtsuru A,Suzuki Y,Harigane M,Horikoshi N,Nagai M,Zhang W,Takahashi H,Yasumura S,Iso H,Kamiya K,Fukushima Health Management Survey Group.

    更新日期:2018-06-30 00:00:00

  • Rate of adherence to urate-lowering therapy among patients with gout: a systematic review and meta-analysis.

    abstract:INTRODUCTION:Reported adherence to urate-lowering therapy (ULT) in gout varies widely (17%-83.5%). Variability may partly be due to different adherence measurement methods. This review aimed to quantify ULT adherence in adult patients with gout. METHODS:This analysis examined studies in PubMed, Web of Science, CNKI Sc...

    journal_title:BMJ open

    pub_type: 杂志文章,meta分析

    doi:10.1136/bmjopen-2017-017542

    authors: Yin R,Li L,Zhang G,Cui Y,Zhang L,Zhang Q,Fu T,Cao H,Li L,Gu Z

    更新日期:2018-04-10 00:00:00

  • Models of suicide in elderly: a protocol for a systematic review.

    abstract:INTRODUCTION:The rates of suicide in the elderly population are generally higher than other age groups. Models of suicide that explain the phenomenon of suicide in later life may have research, clinical and educational implications for the field of ageing. The primary purpose of this systematic review is to identify an...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2018-022087

    authors: Rostami M,Younesi SJ,Mohammadi Shahboulaghi F,Malakouti SK,Foroughan M

    更新日期:2018-10-18 00:00:00

  • Cohort profile: the AUstralian Twin BACK pain and physical activity study (AUTBACK study).

    abstract:PURPOSE:Despite the growing evidence that physical activity and familial factors play a role in low back pain (LBP), there is a lack of robust longitudinal studies that (1) investigate the types and dosages of physical activity that are protective or harmful for LBP, (2) employ objective measures of physical activity a...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-036301

    authors: Carvalho-E-Silva AP,Pinheiro MB,Ferreira ML,Hübscher M,Calais-Ferreira L,Ferreira PH

    更新日期:2020-07-28 00:00:00

  • Is the Yale Global Tic Severity Scale a valid tool for parent-reported assessment in the paediatric population? A prospective observational study in Taiwan.

    abstract:OBJECTIVE:The Yale Global Tic Severity Scale (YGTSS) is the most commonly used clinician-rated evaluation tool for Tourette syndrome (TS), with established reliability and validity. This study aims to determine whether the YGTSS is a valid parent-reported assessment in the TS population. DESIGN:A prospective cohort st...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-034634

    authors: Ho CS,Huang JY,Yang CH,Lin YJ,Huang MY,Su YC

    更新日期:2020-08-20 00:00:00

  • Influence of government price regulation and deregulation on the price of antineoplastic medications in China: a controlled interrupted time series study.

    abstract:BACKGROUND:In October 2012, the Chinese government established maximum retail prices for specific products, including 30 antineoplastic medications. Three years later, in June 2015, the government abolished price regulation for most medications, including all antineoplastic medications. This study examined the impacts ...

    journal_title:BMJ open

    pub_type: 杂志文章

    doi:10.1136/bmjopen-2019-031658

    authors: Guan X,Wushouer H,Yang M,Han S,Shi L,Ross-Degnan D,Wagner AK

    更新日期:2019-11-28 00:00:00