ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
Predictability of persistent frequent attendance: a historic 3-year cohort study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Determinants of Frequent Attendance in Primary Care. A Systematic Review of Longitudinal Studies.Frontiers in medicine · 2021Pooled it
- Opportunities and challenges in developing risk prediction models with electronic health records data: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Article
- Managing high frequency users of an electronic consultation system in primary care: a quality improvement project.BMJ open quality · 2021Article
- Continuity of care as a predictor of ongoing frequent attendance in primary care: a retrospective cohort study.BJGP open · 2020Article
- Observational
- Frequent attenders at risk of disability pension: a longitudinal study combining routine and register data.Scandinavian journal of public health · 2020Article
- Article
- Characteristics of Elderly Frequent Attendees in Slovene Family Medicine Practices - a Cross-sectional Study.Materia socio-medica · 2019Article
- Article
- Frequent attenders at primary care out-of-hours services: a registry-based observational study in Norway.BMC health services research · 2018Observational
- Demographic and practice factors predicting repeated non-attendance in primary care: a national retrospective cohort analysis.The Lancet. Public health · 2017Article
- Article
- Article
- Cognitive behaviour therapy for long-term frequent attenders in primary care: a feasibility case series and treatment development study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
- Determinants of frequent attendance in Danish general practice: a cohort-based cross-sectional study.BMC family practice · 2016Article
- Clinical characteristics of persistent frequent attenders in primary care: case-control study.Family practice · 2015Article
- Morbidity and doctor characteristics only partly explain the substantial healthcare expenditures of frequent attenders: a record linkage study between patient data and reimbursements data.BMC family practice · 2013Article
- Predictability of persistent frequent attendance in primary care: a temporal and geographical validation study.PloS one · 2013Article
- Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew 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 records. DESIGN OF STUDY: A historic 3-year cohort study.
methodData of 28 860 adult patients from 2003 to 2005 were examined. Frequent attenders were patients whose attendance rate ranked in the (age- and sex-adjusted) top 10% during 1 year (1-year frequent attenders) or 3 years (persistent frequent attenders). Bootstrapped multivariable logistic regression analysis was used to determine which predictors contained information on persistent frequent attendance.
resultsOf 3045 1-year frequent attenders, 470 (15.4%) became persistent frequent attenders. The prediction rule could update this prior probability to 3.3% (lowest value) or 43.3% (highest value). However, the 10th and 90th centiles of the posterior probability distribution were 7.4% and 26.3% respectively, indicating that the model performs modestly. The area under the receiver operating characteristic curve was 0.67 (95% confidence limits 0.64 and 0.69).
conclusionAmong 1-year frequent attenders, six out of seven are transient frequent attenders. With the present indicators, the rule developed performs modestly in selecting those more likely to become persistent frequent attenders.
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