Al-Saffar Mohammed N, Hayhoe Benedict Wj, Harris Matthew J, Majeed Azeem, Greenfield Geva
Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK
Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.
BJGP Open. 2020 Oct 27;4(4). doi: 10.3399/bjgpopen20X101076. Print 2020 Oct.
Frequent paediatric attendances make up a large proportion of a GP's workload. Currently, there is no systematic review on frequent paediatric attendances in primary care.
To identify the sociodemographic and clinical characteristics of children who attend primary care frequently.
DESIGN & SETTING: A systematic review.
The electronic databases MEDLINE, Embase, and PsycINFO were searched up to January 2020, using terms relating to frequent attendance in primary care settings. Studies were eligible if they considered children frequently attending in primary care (aged 0-19 years). Relevant data were extracted and analysed by narrative synthesis.
Six studies, of fair quality overall, were included in the review. Frequent attendance was associated with presence of psychosocial and mental health problems, younger age, school absence, presence of chronic conditions, and high level of anxiety in their parents.
Various sociodemographic and medical characteristics of children were associated with frequent attendance in primary care. Research on interventions needs to account for the social context and community characteristics. Integrating GP services with mental health and social care could potentially provide a response to medical and psychosocial needs of frequently attending children and their families.
儿科患者频繁就诊在全科医生的工作量中占很大比例。目前，尚无关于基层医疗中儿科患者频繁就诊的系统评价。
确定频繁到基层医疗就诊的儿童的社会人口学和临床特征。
一项系统评价。
检索截至2020年1月的电子数据库MEDLINE、Embase和PsycINFO，使用与基层医疗环境中频繁就诊相关的术语。如果研究涉及频繁到基层医疗就诊的儿童（0至19岁），则该研究符合纳入标准。提取相关数据并通过叙述性综合分析进行分析。
该评价纳入了六项总体质量一般的研究。频繁就诊与心理社会和心理健康问题、年龄较小、缺课、慢性病的存在以及父母的高度焦虑有关。
儿童的各种社会人口学和医学特征与频繁到基层医疗就诊有关。干预措施的研究需要考虑社会背景和社区特征。将全科医生服务与心理健康和社会护理相结合可能会满足频繁就诊儿童及其家庭的医疗和心理社会需求。
