ArticleBMC public health2018
Social capital and frequent attenders in general practice: a register-based cohort study.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Profile of European frequent attenders in primary health care: a systematic review and meta-analysis.Family practice · 2025Pooled it
- Economic, cultural, and social inequalities in potentially inappropriate medication: A nationwide survey- and register-based study in Denmark.PLoS medicine · 2024Article
- Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling.BMC family practice · 2021Article
- Can social capital play a role in contracting services of family doctors in China? Reflections based on an integrative review.BMC family practice · 2021Review
- Social capital and pneumococcal vaccination (PPSV23) in community-dwelling older Japanese: a JAGES multilevel cross-sectional study.BMJ open · 2021Article
- Managing high frequency users of an electronic consultation system in primary care: a quality improvement project.BMJ open quality · 2021Article
- Perinatal outcomes of frequent attendance in midwifery care in the Netherlands: a retrospective cohort study.BMC pregnancy and childbirth · 2020Article
- Frequent attenders at primary care out-of-hours services: a registry-based observational study in Norway.BMC health services research · 2018Observational
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Authors and funding
6 authors.
Funding
Abstract
backgroundFrequent attendance to primary care constitutes a large use of resources for the health care system. The association between frequent attendance and illness-related factors has been examined in several studies, but little is known about the association between frequent attendance and individual social capital. The aim of this study is to explore this association.
methodsThe analysis is conducted on responders to the North Denmark Region Health Profile 2010 (n = 23,384), individually linked with information from administrative registers. Social capital is operationalized at the individual level, and includes cognitive (interpersonal trust and norms of reciprocity) as well as structural (social network and civic engagement) dimensions. Frequent attendance is defined as the upper-quartile of the total number of measured consultations with a general practitioner over a period of 148 weeks.
resultsUsing multiple logistic regression, we found that frequent attendance was associated with a lower score in interpersonal trust [OR 0.86 (0.79-0.94)] and social network [OR 0.88 (0.79-0.98)] for women, when adjusted for age, education, income and SF12 health scores. Norms of reciprocity and civic engagement were not significantly associated with frequent attendance for women [OR 1.05 (0.99-1.11) and OR 1.01 (0.92-1.11) respectively]. None of the associations were statistically significant for men.
conclusionThis study suggests that for women, some aspects of social capital are associated with frequent attendance in general practice, and the statistically significant dimensions belonged to both cognitive and structural aspects of social capital. This association was not seen for men. This indicates a multifaceted and heterogeneous relationship between social capital and frequent attendance among genders.
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