Nielsen Jesper B, Andersen Helene S
Research unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark
Research unit for General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
BJGP Open. 2025 Mar 12. doi: 10.3399/BJGPO.2024.0195.
Frequent attenders (more than 11 annual contacts) use more resources than most other patients in general practice.
We aim to study what characterises frequent attenders related to age, gender, mode of contact (face-to-face, email, phone), and patient contact (GP or GP staff).
DESIGN & SETTING: We use patient data from 11 Danish GP clinics and 38.874 patients covering a 12-month period.
Bivariate as well as regression analyses of patient data were used.
Frequent attenders exist in all age groups, but with different frequencies. In the age group 55-64 years 25% of patients were frequent attenders, this increased to 33% in the next age decade from age 65-74 years and reached 48% among those above age 74 years. Frequent attenders have a different user pattern related to physical visits, phone consultations, or email consultations than other patients. In their contact to the GP clinic, the frequent attender is relatively more often in contact with the practice staff than a GP compared to other patients.
Within our Danish patient population,22% had more than 11 annual contacts to their GP clinic. These frequent attenders are in general terms characterized by being women, above 65 years of age, having 20 annual contacts to the GP clinic, and having plus 10 diagnoses. For the entire patient population, the GP handles 40% of the patient contacts (60% by other staff members), and this percentage is lowest among frequent attenders. E-mail contact is more frequent among frequent attenders than other patients.
在全科医疗中，频繁就诊者（每年就诊超过11次）比大多数其他患者使用更多的资源。
我们旨在研究与年龄、性别、联系方式（面对面、电子邮件、电话）以及患者接触对象（全科医生或全科医生工作人员）相关的频繁就诊者的特征。
我们使用来自丹麦11家全科诊所的患者数据，涉及38874名患者，时间跨度为12个月。
对患者数据进行双变量分析以及回归分析。
所有年龄组中均存在频繁就诊者，但频率不同。在55 - 64岁年龄组中，25%的患者为频繁就诊者，在接下来65 - 74岁的十年中这一比例增至33%，在74岁以上人群中达到48%。与其他患者相比，频繁就诊者在门诊就诊、电话咨询或电子邮件咨询方面有不同的使用模式。在与全科诊所的接触中，与其他患者相比，频繁就诊者相对更常与诊所工作人员而非全科医生接触。
在我们丹麦的患者群体中，22%的人每年与他们的全科诊所联系超过11次。这些频繁就诊者的总体特征是女性、65岁以上、每年与全科诊所联系20次且有10种以上诊断。对于整个患者群体，全科医生处理40%的患者接触（60%由其他工作人员处理），而这一比例在频繁就诊者中最低。频繁就诊者中电子邮件联系比其他患者更频繁。
