ArticleScandinavian journal of primary health care2014
Frequent attenders in general practice and immigrant status in Norway: a nationwide cross-sectional study.
Article in Scandinavian journal of primary health care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Frequent attenders in late life in primary care: a systematic review of European studies.BMC family practice · 2017Pooled it
- Treatment trajectories among patients with musculoskeletal disorders in Norway - a register-based cohort study over 2 years.Scandinavian journal of primary health care · 2026Article
- Healthcare inequalities in general practice due to educational level: A retrospective cohort study analysing patients' presentation and GP response to requests.The European journal of general practice · 2026Article
- Consultation frequency and general practitioners' and practices' characteristics.BMC primary care · 2023Article
- Unmet Healthcare Needs and Their Determining Factors among Unwell Migrants: A Comparative Study in Shanghai.International journal of environmental research and public health · 2022Article
- Accessibility of health care experienced by persons with dementia from ethnic minority groups and formal and informal caregivers: A scoping review of European literature.Dementia (London, England) · 2022Article
- Use of Health Services and Unmet Need among Adults of Russian, Somali, and Kurdish Origin in Finland.International journal of environmental research and public health · 2021Article
- Immigration, acculturation, and preferred help-seeking sources for depression: comparison of five ethnic groups.BMC health services research · 2020Article
- Frequent attenders in the German healthcare system: determinants of high utilization of primary care services. Results from the cross-sectional German health interview and examination survey for adults (DEGS).BMC family practice · 2020Article
- Reasons for attending a general emergency outpatient clinic versus a regular general practitioner - a survey among immigrant and native walk-in patients in Oslo, Norway.Scandinavian journal of primary health care · 2017Article
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- Shifting migrant health care away from an agenda of conflicts and problems toward solutions.Scandinavian journal of primary health care · 2016Article
- Global healthcare use by immigrants in Spain according to morbidity burden, area of origin, and length of stay.BMC public health · 2016Article
- Use of emergency care services by immigrants—a survey of walk-in patients who attended the Oslo Accident and Emergency Outpatient Clinic.BMC emergency medicine · 2015Article
- Longitudinal cohort study describing persistent frequent attenders in Australian primary healthcare.BMJ open · 2015Article
- Multimorbidity and Its Patterns according to Immigrant Origin. A Nationwide Register-Based Study in Norway.PloS one · 2015Article
- Using machine learning to identify frequent attendance at accident and emergency services in Lanarkshire.Digital healthArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the likelihood of being a frequent attender (FA) to general practice among native Norwegians and immigrants, and to study socioeconomic and morbidity factors associated with being a FA for natives and immigrants. DESIGN, SETTING AND SUBJECTS: Linked register data for all inhabitants in Norway with at least one visit to the general practitioner (GP) in 2008 (2 967 933 persons). Immigrants were grouped according to their country of origin into low- (LIC), middle- (MIC), and high-income countries (HIC). FAs were defined as patients whose attendance rate ranked in the top 10% (cut-off point > 7 visits).
main outcome measuresFAs were compared with other GP users by means of multivariate binary logistic analyses adjusting for socioeconomic and morbidity factors.
resultsAmong GP users during the daytime, immigrants had a higher likelihood of being a FA compared with natives (OR (95% CI): 1.13 (1.09-1.17) and 1.15 (1.12-1.18) for HIC, 1.84 (1.78-1.89) and 1.66 (1.63-1.70) for MIC, and 1.77 (1.67-1.89) and 1.65 (1.57-1.74) for LIC for men and women respectively). Pregnancy, middle income earned in Norway, and having cardiologic and psychiatric problems were the main factors associated with being a FA. Among immigrants, labour immigrants and the elderly used GPs less often, while refugees were overrepresented among FAs. Psychiatric, gastroenterological, endocrine, and non-specific drug morbidity were relatively more prevalent among immigrant FA compared with natives.
conclusionAlthough immigrants account for a small percentage of all FAs, GPs and policy-makers should be aware of differences in socioeconomic and morbidity profiles to provide equality of health care.
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