Title |
Persistent frequent attenders in primary care: costs, reasons for attendance, organisation of care and potential for cognitive behavioural therapeutic intervention
|
---|---|
Published in |
BMC Primary Care, May 2012
|
DOI | 10.1186/1471-2296-13-39 |
Pubmed ID | |
Authors |
Richard Morriss, Joe Kai, Christopher Atha, Anthony Avery, Sara Bayes, Matthew Franklin, Tracey George, Marilyn James, Samuel Malins, Ruth McDonald, Shireen Patel, Michelle Stubley, Min Yang |
Abstract |
The top 3% of frequent attendance in primary care is associated with 15% of all appointments in primary care, a fivefold increase in hospital expenditure, and more mental disorder and functional somatic symptoms compared to normal attendance. Although often temporary if these rates of attendance last more than two years, they may become persistent (persistent frequent or regular attendance). However, there is no long-term study of the economic impact or clinical characteristics of regular attendance in primary care. Cognitive behaviour formulation and treatment (CBT) for regular attendance as a motivated behaviour may offer an understanding of the development, maintenance and treatment of regular attendance in the context of their health problems, cognitive processes and social context. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | 40% |
United States | 2 | 40% |
Unknown | 1 | 20% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 60% |
Practitioners (doctors, other healthcare professionals) | 1 | 20% |
Scientists | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | <1% |
United States | 1 | <1% |
Unknown | 166 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 25 | 15% |
Researcher | 24 | 14% |
Student > Bachelor | 16 | 10% |
Student > Ph. D. Student | 14 | 8% |
Student > Doctoral Student | 14 | 8% |
Other | 43 | 26% |
Unknown | 32 | 19% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 56 | 33% |
Psychology | 25 | 15% |
Nursing and Health Professions | 16 | 10% |
Social Sciences | 11 | 7% |
Economics, Econometrics and Finance | 3 | 2% |
Other | 15 | 9% |
Unknown | 42 | 25% |