Epidemiology of frequent attenders: a 3-year historic cohort study comparing attendance, morbidity and prescriptions of one-year and persistent frequent attenders
Open accessAbstract
BACKGROUND: General Practitioners spend a disproportionate amount of time on frequent attenders. So far, trials on the effect of interventions on frequent attenders have shown negative results. However, these trials were conducted in short-term frequent attenders. It would be more reasonable to target intervention at persistent frequent attenders. Typical characteristics of persistent frequent attenders, as opposed to 1-year frequent attenders and non-frequent attenders, may generate hypotheses regarding modifiable factors on which new randomized trials may be designed. METHODS: We used the data of all 28,860 adult patients from 5 primary healthcare centers. Frequent attenders were patients whose attendance rate ranked in the (age and sex adjusted) top 10 percent during 1 year (1-year frequent attenders) or 3 years (persistent frequent attenders). All other patients on the register over the 3-year period were referred to as non-frequent attenders. The lists of medical problems coded by the GP using the International Classification of Primary Care (ICPC) were used to assess morbidity.First, we determined which proportion of 1-year frequent attenders was still a frequent attender during the next two consecutive years and calculated the GPs' workload for these patients. Second, we compared morbidity and number of prescriptions for non-frequent attenders, 1-year frequent attenders and persistent frequent attenders. RESULTS: Of all 1-year frequent attenders, 15.4% became a persistent frequent attender equal to 1.6% of all patients. The 1-year frequent attenders (3,045; 10.6%) were responsible for 39% of the face-to-face consultations; the 470 patients who would become persistent frequent attenders (1.6%) were responsible for 8% of all consultations in 2003. Persistent frequent attenders presented more social problems, more psychiatric problems and medically unexplained physical symptoms, but also more chronic somatic diseases (especially diabetes). They received more prescriptions for psychotropic medication. CONCLUSION: One out of every seven 1-year-frequent attenders (15.4%) becomes a persistent frequent attender. Compared with non-frequent attenders, and 1-year frequent attenders, persistent frequent attenders consume more health care and are diagnosed not only with more somatic diseases but especially more social problems, psychiatric problems and medically unexplained physical symptoms.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Most frequent attenders defined by short time frames return to normal consultation rates within 12 months.
“Defined in this way, most frequent attenders return to normal consultation rates within 12months. 12”
From Cognitive behaviour therapy for long-term frequent attenders in primary care: A feasibility case series and treatment development study (2016) · cites this paper as [12]
The threshold in those studies was not high enough to apply the clinical differentiation suggested, and did not report change in service use.
“Even then the threshold was not high enough to apply the clinical differentiation suggested, 12 and did not report change in service use.”
From Cognitive behaviour therapy for long-term frequent attenders in primary care: A feasibility case series and treatment development study (2016) · cites this paper as [12]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
A structural approach to selection bias
Hernán, M. A., Hernández-Díaz, S., & Robins, J. M. (2004) · Epidemiology · doi:10.1097/01.ede.0000135174.63482.43 · Cited by 2,844 · see citing works
International Classification of Primary Care
Bentsen, B. G. (1986) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813438609013970 · Cited by 900 · see citing works
(2021) · Croatian Medical Journal · doi:10.3325/cmj · Cited by 403 · see citing works
Systematic review of scope and quality of electronic patient record data in primary care
Thiru, K., Hassey, A., & Sullivan, F. (2003) · BMJ · doi:10.1136/bmj.326.7398.1070 · Cited by 342 · see citing works
Randomized Trial of a Depression Management Program in High Utilizers of Medical Care
Katzelnick, D. J. (2000) · Archives of Family Medicine · doi:10.1001/archfami.9.4.345 · Cited by 331 · see citing works
Hansagi, H., Olsson, M., Sjöberg, S., Tomson, Y., & Göransson, S. (2001) · Annals of Emergency Medicine · doi:10.1067/mem.2001.111762 · Cited by 318 · see citing works
Vedsted, P., & Christensen, M. B. (2004) · Public Health · doi:10.1016/j.puhe.2004.03.007 · Cited by 247 · see citing works
Frequent attenders with medically unexplained symptoms: service use and costs in secondary care
Reid, S., Wessely, S. C., Crayford, T. J. B., & Hotopf, M. H. (2002) · The British Journal of Psychiatry · doi:10.1192/bjp.180.3.248 · Cited by 223 · see citing works
Persistent presentation of medically unexplained symptoms in general practice
Verhaak, P. F. M. (2006) · Family Practice · doi:10.1093/fampra/cml016 · Cited by 211 · see citing works
Cost-effectiveness of Systematic Depression Treatment for High Utilizers of General Medical Care
Simon, G. E., Manning, W. G., Katzelnick, D. J., Pearson, S. D., Henk, H. J., & Helstad, C. P. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.2.181 · Cited by 199 · see citing works
Quality of morbidity coding in general practice computerized medical records: a systematic review
Jordan, K. P. (2004) · Family Practice · doi:10.1093/fampra/cmh409 · Cited by 198 · see citing works
[International classification of primary care].
Ewert, R., & Perthel, M. (1992) · PubMed · Cited by 156 · see citing works
A randomized trial of psychiatric consultation with distressed high utilizers
Katon, W. J., Korff, M. V., Lin, E., Bush, T. M., Russo, J. E., Lipscomb, P. A., & Wagner, E. H. (1992) · General Hospital Psychiatry · doi:10.1016/0163-8343(92)90033-7 · Cited by 155 · see citing works
Frequent consulters in general practice
Gill, D. M., & Sharpe, M. (1999) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(98)00118-4 · Cited by 141 · see citing works
Latent Variable Models of Functional Somatic Distress
Robbins, J. M., Kirmayer, L. J., & HEMAMI, S. (1997) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199710000-00003 · Cited by 124 · see citing works
Neal, R. D., Heywood, P. L., Morley, S., Clayden, A. D., & Dowell, A. C. (1998) · Europe PMC (PubMed Central) · Cited by 108 · see citing works
Psychosocial, lifestyle, and health status variables in predicting high attendance among adults.
Little, P. S., Somerville, J., Williamson, I. G., Warner, G., Moore, M. V., Wiles, R., George, S., Smith, A., & Peveler, R. (2001) · Europe PMC (PubMed Central) · Cited by 62 · see citing works
Interventions on frequent attenders in primary care: A systematic literature review
Smits, F. T. M., Wittkampf, K. A., Schene, A. H., Bindels, P. J. E., & Van Weert, H. C. P. M. (2008) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813430802112997 · Cited by 51 · see citing works
Self-citationDefining frequent attendance in general practice
Smits, F., Mohrs, J., Beem, E. E., Bindels, P., & van Weert, H. C. P. M. (2008) · BMC Family Practice · doi:10.1186/1471-2296-9-21 · Cited by 49 · see citing works
Self-citationPredictability of persistent frequent attendance: a historic 3-year cohort study
Smits, F. T., Brouwer, H. J., van Weert, H. C., Schene, A. H., & ter Riet, G. (2009) · British Journal of General Practice · doi:10.3399/bjgp09x395120 · Cited by 44 · see citing works
Self-citationde Waal, M. W. M., Arnold, I. A., Eekhof, J. A., Assendelft, W. J., & van Hemert, A. M. (2008) · BMC Family Practice · doi:10.1186/1471-2296-9-5 · Cited by 42 · see citing works
Frequent attenders in general practice: a retrospective 20-year follow-up study.
Carney, T. A., Guy, S., & Jeffrey, G. (2001) · PubMed · Cited by 40 · see citing works
Data quality improvement in general practice
Brouwer, H. J. (2006) · Family Practice · doi:10.1093/fampra/cml040 · Cited by 38 · see citing works
Self-citationStability of Attendance in General Practice
Ward, A. M., UNDERWOOD, P., Fatovich, B. S., & Wood, A. T. A. (1994) · Family Practice · doi:10.1093/fampra/11.4.431 · Cited by 28 · see citing works
Christensen, M. B., Christensen, B., Mortensen, J. T., & Olesen, F. (2004) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813430410006576 · Cited by 26 · see citing works
Evaluation of a Stress Management Program for High Utilizers of a Prepaid University Health Service
Olbrisch, M. E. (1981) · Medical Care · doi:10.1097/00005650-198102000-00003 · Cited by 21 · see citing works
Andersson, S., Lynöe, N., Hallgren, C.-G., & Nilsson, M. (2004) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813430410005207 · Cited by 21 · see citing works
Frequent attenders in family practice in Croatia: retrospective study.
Botica, M. V., Kovačić, L., Tiljak, M. K., Katić, M., Botica, I., Rapić, M., Novaković, D., & Lovasić, S. (2004) · PubMed · Cited by 18 · see citing works
Booth, B. M., Rl, L., Wakefield, D. S., Kern, D. C., & Ce, D. M. (1991) · PubMed · Cited by 14 · see citing works
Reducing emergency department visits among high-using patients.
Brandon, W. R., & Chambers, R. B. (2003) · PubMed · Cited by 12 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Carney TA Guy S Jeffrey G Frequent attenders in general practice: a retrospective 20-year follow-up study Br J Gen Pract 2001 51 567 569 11462318 PMC1314050
Cited by
Sorted by citations
Somatoform Disorders and Medically Unexplained Symptoms in Primary Care
Haller, H., Cramer, H., Lauche, R., & Dobos, G. (2015) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2015.0279 · Cited by 284 · see citing works
Frequent users of US emergency departments: characteristics and opportunities for intervention
Vinton, D. T., Capp, R., Rooks, S. P., Abbott, J., & Ginde, A. A. (2014) · Emergency Medicine Journal · doi:10.1136/emermed-2013-202407 · Cited by 155 · see citing works
The Unifying Concept of Illness Behavior
Sirri, L., Fava, G. A., & Sonino, N. (2013) · Psychotherapy and Psychosomatics · doi:10.1159/000343508 · Cited by 121 · see citing works
Hudon, C., Chouinard, M., Pluye, P., Sherif, R. E., Bush, P. L., Rihoux, B., Poitras, M.-È., Lambert, M., Zomahoun, H. T. V., & Légaré, F. (2019) · The Annals of Family Medicine · doi:10.1370/afm.2419 · Cited by 91 · see citing works
Clinical characteristics of persistent frequent attenders in primary care: Case-control study
Patel, S., Kai, J., Atha, C., Avery, A., Guo, B., James, M., Malins, S., Sampson, C., Stubley, M., & Morriss, R. (2015) · Family Practice · doi:10.1093/fampra/cmv076 · Cited by 56 · see citing works
Frequent attenders in late life in primary care: a systematic review of European studies
Welzel, F. D., Stein, J., Hajek, A., König, H., & Riedel-Heller, S. G. (2017) · BMC Family Practice · doi:10.1186/s12875-017-0700-7 · Cited by 55 · see citing works
Smits, F. T., Brouwer, H. J., Zwinderman, A. H., Mohrs, J., Schene, A. H., van Weert, H. C. P. M., & ter Riet, G. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.08.003 · Cited by 58 · see citing works
Self-citationDeterminants of frequent attendance in Danish general practice: a cohort-based cross-sectional study
Jørgensen, J. T., Andersen, J. S., Tjønneland, A. M., & Andersen, Z. J. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0412-4 · Cited by 50 · see citing works
Identifying patients with chronic widespread pain in primary care
Mansfield, K. E., Sim, J., Croft, P. R., & Jordan, K. P. (2016) · Pain · doi:10.1097/j.pain.0000000000000733 · Cited by 50 · see citing works
Epidemiology: prevalence, causes and consequences
Creed, F. H., BARSKY, A. J., & Leiknes, K. A. (2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511977862.002 · Cited by 46 · see citing works
Smits, F., Brouwer, H. J., Zwinderman, A. H., Mohrs, J., Smeets, H. M., Bosmans, J. E., Schene, A. H., van Weert, H. C. P. M., & ter Riet, G. (2013) · BMC Family Practice · doi:10.1186/1471-2296-14-138 · Cited by 45 · see citing works
Self-citationLongitudinal cohort study describing persistent frequent attenders in Australian primary healthcare
Pymont, C., & Butterworth, P. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-008975 · Cited by 45 · see citing works
Koskela, T., Ryynänen, O., & Soini, E. J. (2010) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813431003690596 · Cited by 44 · see citing works
Heijnders, M. L., & Meijs, J. J. (2017) · Primary Health Care Research & Development · doi:10.1017/s1463423617000809 · Cited by 44 · see citing works
Healthcare Utilization in Medical Intensive Care Unit Survivors with Alcohol Withdrawal
Clark, B. J., Keniston, A., Douglas, I. S., Beresford, T. P., Macht, M., Williams, A., Jones, J., Burnham, E. L., & Moss, M. (2013) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12124 · Cited by 43 · see citing works
Comparison of risk factors for the onset and maintenance of depression
Bottomley, C., Nazareth, I., Torres‐González, F., Švab, I., Maaroos, H., Geerlings, M. I., Xavier, M., Saldivia, S., & King, M. (2009) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.109.067116 · Cited by 41 · see citing works
Kontopantelis, E., Panagioti, M., Farragher, T. M., Munford, L. A., Parisi, R., Planner, C., Spooner, S., Tse, A., Ashcroft, D. M., & Esmail, A. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-054666 · Cited by 40 · see citing works
Jadhakhan, F., Romeu, D., Lindner, O. C., Blakemore, A., & Guthrie, E. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-059971 · Cited by 39 · see citing works
den Boeft, M., Twisk, J. W. R., Terluin, B., Penninx, B. W. J. H., van Marwijk, H., Numans, M. E., van der Wouden, J. C., & van der Horst, H. E. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1332-7 · Cited by 37 · see citing works
Frequent attenders in primary health care: A concept analysis
Kivelä, K., Elo, S., & Kääriäinen, M. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2018.06.003 · Cited by 38 · see citing works
den Boer-Wolters, D., Knol, M. J., Smulders, K., & de Wit, N. J. (2009) · Family Practice · doi:10.1093/fampra/cmp103 · Cited by 36 · see citing works
Factors associated with healthcare-related frustrations among adults with chronic conditions
Smith, M. L., Bergeron, C. D., Adler, C. H., Patel, A., Ahn, S., Towne, S. D., Bien, M., & Ory, M. G. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2016.12.033 · Cited by 35 · see citing works
Lang, V. B., & Marković, B. B. (2016) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813432.2015.1132886 · Cited by 34 · see citing works
Windfuhr, K., While, D., Kapur, N., Ashcroft, D. M., Kontopantelis, E., Carr, M. J., Shaw, J., Appleby, L., & Webb, R. T. (2016) · Psychological Medicine · doi:10.1017/s0033291716001823 · Cited by 34 · see citing works
Vesterling, C., Wilke, J., Bäker, N., Bolz, T., Eilts, J., Koglin, U., Rademacher, A., & Goagoses, N. (2023) · Health & Social Care in the Community · doi:10.1155/2023/6242678 · Cited by 33 · see citing works
Ouimet, M.-J., Pineault, R., Prud’homme, A., Provost, S., Fournier, M., & Lévesque, J. (2015) · International Journal for Equity in Health · doi:10.1186/s12939-015-0243-2 · Cited by 33 · see citing works
Sandvik, H., & Hunskaar, S. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3310-8 · Cited by 31 · see citing works
Haroun, D., Smits, F., van Etten-Jamaludin, F., Schene, A., van Weert, H., & ter Riet, G. (2016) · European Journal of General Practice · doi:10.3109/13814788.2016.1161751 · Cited by 31 · see citing works
“[8] If effective treatments exist, detection and treatment of morbidities could improve FAs’ quality of life (QoL) and lower the impact of frequent attendance on the healthcare system.[4,9] Unfortunately, interpretation and comparison of studies on frequent attendance are difficult because of their heterogeneous chara…”
InfluentialSelf-citationDíaz, E., Gimeno-Feliú, L. A., Calderón‐Larrañaga, A., & Prados‐Torres, A. (2014) · Scandinavian Journal of Primary Health Care · doi:10.3109/02813432.2014.982368 · Cited by 29 · see citing works
Frequent attenders in occupational health primary care: A cross-sectional study
Reho, T., Atkins, S. A., Talola, N., Viljamaa, M., Sumanen, M. P. T., & Uitti, J. (2018) · Scandinavian Journal of Public Health · doi:10.1177/1403494818777436 · Cited by 28 · see citing works
Hüsing, P., Löwe, B., Piontek, K., & Mora, M. C. S. (2018) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.12898 · Cited by 27 · see citing works
Butler, A., Love, A. D., Young, J. T., & Kinner, S. A. (2019) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-019-09685-1 · Cited by 27 · see citing works
Health-Related Quality of Life in Older Persons with Medically Unexplained Symptoms
Hanssen, D. J. C., Lucassen, P. L., Hilderink, P. H., Naarding, P., & Voshaar, R. C. O. (2016) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2016.07.013 · Cited by 26 · see citing works
Luppa, M., Giersdorf, J., Riedel-Heller, S. G., Prütz, F., & Rommel, A. (2020) · BMC Family Practice · doi:10.1186/s12875-020-1082-9 · Cited by 26 · see citing works
den Boeft, M., van der Wouden, J. C., Rydell-Lexmond, T. R., de Wit, N. J., van der Horst, H. E., & Numans, M. E. (2014) · BMC Family Practice · doi:10.1186/1471-2296-15-109 · Cited by 26 · see citing works
Leutgeb, R., Berger, S. J., Szécsényi, J., & Laux, G. (2018) · PLoS ONE · doi:10.1371/journal.pone.0202546 · Cited by 26 · see citing works
Barends, H., Botman, F., Walstock, E., Dessel, N. C.-V., van der Wouden, J. C., Hartman, T. O., Dekker, J., & van der Horst, H. E. (2022) · British Journal of General Practice · doi:10.3399/bjgp.2021.0566 · Cited by 24 · see citing works
Wortman, M. S. H., Lucassen, P. L., van Ravesteijn, H. J., Bor, H. H. J., Assendelft, W. J., Lucas, C., & Hartman, T. O. (2016) · Family Practice · doi:10.1093/fampra/cmw023 · Cited by 24 · see citing works
Malins, S., Kai, J., Atha, C., Avery, A., Guo, B., James, M., Patel, S., Sampson, C., Stubley, M., & Morriss, R. (2016) · British Journal of General Practice · doi:10.3399/bjgp16x686569 · Cited by 23 · see citing works
Health Service Use Among Patients With Chronic or Multiple Illnesses, and Frequent Attenders
Hauswaldt, J., Hummers, E., & Junius‐Walker, U. (2012) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2012.0814 · Cited by 23 · see citing works
Psychosocial problems in adolescents associated with frequent health care use
Kekkonen, V., Kivimäki, P., Valtonen, H., Tolmunen, T., Lehto, S. M., Hintikka, J. J., & Laukkanen, E. (2015) · Family Practice · doi:10.1093/fampra/cmu090 · Cited by 23 · see citing works
Ahmed, S. T., Mahtta, D., Rehman, H., Akeroyd, J. M., Rifai, M. A., Rodríguez, F., Jneid, H. M., Nasir, K., Samad, Z. Z., Alam, M., et al. (2019) · American Heart Journal · doi:10.1016/j.ahj.2019.11.019 · Cited by 21 · see citing works
Characteristics of collaborative care networks in functional disorders: A systematic review
Mamo, N., van de Klundert, M. A. W., Tak, L. M., Hartman, T. O., Hanssen, D. J. C., & Rosmalen, J. G. M. (2023) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2023.111357 · Cited by 22 · see citing works
Norton, J. L., David, M., de Roquefeuil, G., Boulenger, J., Car, J., Ritchie, K. A., & MANN, A. H. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2012.02.010 · Cited by 22 · see citing works
Determinants of Frequent Attendance in Primary Care. A Systematic Review of Longitudinal Studies
Hajek, A., Kretzler, B., & König, H. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.595674 · Cited by 21 · see citing works
Carmassi, C., Dell’Oste, V., Ceresoli, D., Moscardini, S., Bianchi, E., Landi, R., Massimetti, G., Nisita, C., & Dell’Osso, L. (2018) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s179013 · Cited by 19 · see citing works
Kujanpää, T. S., Jokelainen, J., Auvinen, J. P., & Timonen, M. J. (2017) · The International Journal of Psychiatry in Medicine · doi:10.1177/0091217417720894 · Cited by 19 · see citing works
Reho, T., Atkins, S. A., Talola, N., Sumanen, M. P. T., Viljamaa, M., & Uitti, J. (2019) · Scandinavian Journal of Public Health · doi:10.1177/1403494819838663 · Cited by 19 · see citing works
Martín‐Fernández, J., Rodríguez-Martínez, G., Ariza-Cardiel, G., Gutierrez, M. Á. V., Escudero, A. V. H., & Conde-López, J. F. (2013) · Revista Española de Salud Pública · doi:10.4321/s1135-57272013000400008 · Cited by 18 · see citing works
Reho, T., Atkins, S. A., Talola, N., Sumanen, M. P. T., Viljamaa, M., & Uitti, J. (2018) · BMC Public Health · doi:10.1186/s12889-018-6217-8 · Cited by 18 · see citing works
Oral health and healthcare utilization in Belgian dentate adults
Bottenberg, P., Vanobbergen, J., Declerck, D., & Carvalho, J. C. (2019) · Community Dentistry And Oral Epidemiology · doi:10.1111/cdoe.12484 · Cited by 16 · see citing works
Hadwiger, M., König, H., & Hajek, A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16091553 · Cited by 16 · see citing works
Martín‐Fernández, J., Gómez‐Gascón, T., del Cura-González, I., Tomás-García, N., Cabañero, C. V.-M., & Rodríguez-Martínez, G. (2010) · Revista Española de Salud Pública · doi:10.1590/s1135-57272010000300007 · Cited by 15 · see citing works
Branney, P., Witty, K. R., Bagnall, A., South, J., & White, A. (2012) · Psychology and Health · doi:10.1080/08870446.2011.636443 · Cited by 15 · see citing works
Hummers, E., Beyer, M., Chevallier, P., Eilat‐Tsanani, S., Lionis, C. D., Peremans, L., Petek, D., Rurik, I., Soler, J. K., Stoffers, J., et al. (2010) · European Journal of General Practice · doi:10.3109/13814780903563725 · Cited by 15 · see citing works
Wortman, M. S. H., van der Wouden, J. C., Twisk, J. W. R., Visser, B., Assendelft, W. J., van der Horst, H. E., & Hartman, T. O. (2023) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2023.111178 · Cited by 14 · see citing works
The inter-contact interval: a new measure to define frequent attenders in primary care
Hauswaldt, J., Himmel, W., & Hummers, E. (2013) · BMC Family Practice · doi:10.1186/1471-2296-14-162 · Cited by 14 · see citing works
Reho, T., Atkins, S. A., Talola, N., Sumanen, M. P. T., Viljamaa, M., & Uitti, J. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-024980 · Cited by 14 · see citing works
Perhoniemi, R., & Blomgren, J. (2021) · BMC Public Health · doi:10.1186/s12889-021-10866-x · Cited by 13 · see citing works
Prospects for person‐centred diagnosis in general medicine
Klinkman, M. S., & van Weel, C. (2010) · Journal of Evaluation in Clinical Practice · doi:10.1111/j.1365-2753.2010.01582.x · Cited by 13 · see citing works
Hammerman, O., Halperin, D. S., Tsalihin, D., Greenberg, D., Kushnir, T., & Ezra, Y. (2021) · European Journal of General Practice · doi:10.1080/13814788.2021.1985997 · Cited by 11 · see citing works
Pymont, C., & Butterworth, P. (2015) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2015.10.007 · Cited by 11 · see citing works
Prevalencia y factores asociados a la hiperfrecuentación en la consulta de medicina de familia
Maestre, N., la Cruz, J. M. L.-D., Bermúdez-Torres, F. M., Gónzalez-Contero, L., Monteros, M. P. G.-E. D. L., & María, T. E.-A. (2015) · Medicina de Familia SEMERGEN · doi:10.1016/j.semerg.2015.05.011 · Cited by 11 · see citing works
Corpas, J., Moriana, J. A., Martínez, J. F. V., & Gálvez‐Lara, M. (2021) · Clinical Psychology Science and Practice · doi:10.1037/cps0000009 · Cited by 10 · see citing works
Hoffmeister, L. V., Gama, A. F., Gonçalves, B., Figueiredo, C., Cordeiro, J. V., Polley, M. J., de Moura, G. M. S. S., & Dias, S. (2024) · PLoS ONE · doi:10.1371/journal.pone.0306404 · Cited by 10 · see citing works
Wortman, M. S. H., van der Wouden, J. C., Grutters, J. P. C., Visser, B., Assendelft, W. J., van der Horst, H. E., & Hartman, T. O. (2019) · Trials · doi:10.1186/s13063-019-3913-3 · Cited by 10 · see citing works
Gili, M., Sesé, A., Bauzá, N., Serrano-Ripoll, M. J., Salvador‐Carulla, L., Molina, R., & Roca, M. (2011) · International Review of Psychiatry · doi:10.3109/09540261.2010.544646 · Cited by 10 · see citing works
Adherence to health regimens among frequent attenders of Finnish healthcare
Hirsikangas, S., Kanste, O. I., Korpelainen, J. T., & Kyngäs, H. A. (2016) · International Journal of Circumpolar Health · doi:10.3402/ijch.v75.30726 · Cited by 11 · see citing works
[The primary care frequent attender profile].
Gomes, J., Machado, A., Cavadas, L. F., Teixeira, H., Pires, P., Santos, J. A., Esquível, S., & Sousa, M. (2013) · PubMed · Cited by 9 · see citing works
Smits, F., Brouwer, H. J., Zwinderman, A. H., van den Akker, M., van Steenkiste, B., Mohrs, J., Schene, A. H., van Weert, H. C. P. M., & ter Riet, G. (2013) · PLoS ONE · doi:10.1371/journal.pone.0073125 · Cited by 9 · see citing works
Self-citationVirtanen, L., Kaihlanen, A., Kainiemi, E., Saukkonen, P., & Heponiemi, T. (2023) · Digital Health · doi:10.1177/20552076231178422 · Cited by 10 · see citing works
Somatoforme Störungen – somatoforme Belastungsstörung und verwandte Störungen
Kapfhammer, H. (2017) · Springer eBooks · doi:10.1007/978-3-662-49295-6_74 · Cited by 8 · see citing works
Frailty and Somatic Comorbidity in Older Patients With Medically Unexplained Symptoms
Arts, M. H. L., Benraad, C. E. M., Hanssen, D. J. C., Hilderink, P. H., de Jonge, L., Naarding, P., Lucassen, P. L., & Voshaar, R. C. O. (2019) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2019.02.015 · Cited by 8 · see citing works
der Wal, J. T. G.-V., Gitsels, L. A., Hooker, A. B., van Weert, B., Martin, L., & Jong, E. F. (2019) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-019-2316-5 · Cited by 8 · see citing works
Santalahti, A., Vahlberg, T. J., Luutonen, S. H., & Rautava, P. T. (2018) · BMC Family Practice · doi:10.1186/s12875-018-0836-0 · Cited by 8 · see citing works
Sumanen, H., Harkko, J., Piha, K., Pietiläinen, O. P. H., Rahkonen, O., & Kouvonen, A. M. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-028742 · Cited by 8 · see citing works
Leung, K., & Qureshi, S. (2021) · BMJ Open Quality · doi:10.1136/bmjoq-2020-001310 · Cited by 8 · see citing works
Reho, T., Atkins, S. A., Talola, N., Sumanen, M. P. T., Viljamaa, M., & Uitti, J. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05330-2 · Cited by 7 · see citing works
Children as frequent attenders in primary care: a systematic review
Al-Saffar, M. N., Hayhoe, B. W. J., Harris, M. J., Majeed, A., & Greenfield, G. (2020) · BJGP Open · doi:10.3399/bjgpopen20x101076 · Cited by 7 · see citing works
Jensen, H., Møller, H., & Vedsted, P. (2019) · European Journal of Cancer Care · doi:10.1111/ecc.13143 · Cited by 7 · see citing works
Association between Subjective Well-Being and Frequent Dental Visits in the German Ageing Survey
Valdez, R., Aarabi, G., Spinler, K., Walther, C., Seedorf, U., Heydecke, G., Buczak‐Stec, E., König, H., & Hajek, A. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17093207 · Cited by 7 · see citing works
Perfil do Hiperfrequentador nos Cuidados de Saúde Primários
Gomes, J., Machado, A., Cavadas, L. F., Teixeira, H., Pires, P., Santos, J. A., Esquível, S., & Sousa, M. (2013) · Acta Médica Portuguesa · doi:10.20344/amp.4007 · Cited by 7 · see citing works
Smits, F., Brouwer, H. J., Schene, A. H., van Weert, H. C. P. M., & ter Riet, G. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012563 · Cited by 6 · see citing works
Self-citationRodríguez‐López, M., Arrivillaga, M., Holguín, J., León-Giraldo, H., Ávila, A., Hernández, C., & Rincón-Hoyos, H. G. (2016) · Revista Peruana de Medicina Experimental y Salud Pública · doi:10.17843/rpmesp.2016.333.2335 · Cited by 6 · see citing works
Reho, T., Atkins, S. A., Korhonen, M., Siukola, A., Sumanen, M. P. T., Viljamaa, M., Uitti, J., & Sauni, R. (2021) · BMC Public Health · doi:10.1186/s12889-021-11873-8 · Cited by 6 · see citing works
Koh, J., Tan, N. C., Choo, J. W. S., Chen, H. Y., Koh, Y. L. E., Ang, A. S. Y., Marimuttu, V. J., Wu, R., Sung, S. C., & Ng, C. J. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-080429 · Cited by 5 · see citing works
Carmassi, C., Dell’Oste, V., Cordone, A., Pedrinelli, V., Cappelli, A., Ceresoli, D., Massimetti, G., Nisita, C., & Dell’Osso, L. (2020) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000001163 · Cited by 5 · see citing works
McDermott, A., Sanderson, E., Metcalfe, C. D., Barnes, R., Thomas, C., Cramer, H., & Kessler, D. S. (2020) · BJGP Open · doi:10.3399/bjgpopen20x101083 · Cited by 5 · see citing works
Frequent attenders in primary health care: a mixed‐methods study of patient and staff perspectives
Sharabani, R., Kagan, I., & Cojocaru, Ş. (2023) · Journal of Clinical Nursing · doi:10.1111/jocn.16772 · Cited by 5 · see citing works
Reasons for Consultation among Patients attending Primary Healthcare Centres in Oman
Al-Mandhari, A. S., Al‐Adawi, S., Al-Zakwani, I. S., Dorvlo, A. S. S., & Al‐Shafaee, M. (2013) · Sultan Qaboos University medical journal · doi:10.12816/0003230 · Cited by 5 · see citing works
der Wal, J. T. G.-V., Gitsels, L. A., Hooker, A. B., Scholing, P., Martin, L., & Jong, E. F. (2020) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-020-02957-1 · Cited by 5 · see citing works
Kivelä, K., Elo, S., Kyngäs, H. A., & Kääriäinen, M. (2020) · Scandinavian Journal of Caring Sciences · doi:10.1111/scs.12920 · Cited by 5 · see citing works
Holtman, G. A., Burger, H., Verheij, R. A., Wouters, H., Berger, M. Y., Rosmalen, J. G. M., & Verhaak, P. F. M. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-040730 · Cited by 5 · see citing works
van Driel, D. T. J. W., Hanssen, D. J. C., Hilderink, P. H., Naarding, P., Lucassen, P. L., Rosmalen, J. G. M., & Voshaar, R. C. O. (2016) · Psychological Assessment · doi:10.1037/pas0000303 · Cited by 5 · see citing works
Outpatient-shopping behavior and survival rates in newly diagnosed cancer patients.
Chiou, S., Wang, S. I., Liu, C. H., & Yaung, C.-L. (2012) · PubMed · Cited by 5 · see citing works
[Study on the association between risk factors for osteoporosis and bone mineral density].
Miyamura, T., Yamagata, Z., Iijima, S., & Asaka, A. (1994) · PubMed · Cited by 5 · see citing works
Luutonen, S., Santalahti, A., Mäkinen, M., Vahlberg, T., & Rautava, P. (2019) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813432.2019.1569371 · Cited by 4 · see citing works
“Studies have indicated that FA is often temporary and when the underlying health problem has been solved, the use of health care services diminishes, but 15% of one-year FAs continue to attend frequently in the following years [5].”
BackgroundInfluentialBlomgren, J., Jäppinen, S., & Perhoniemi, R. (2023) · PLoS ONE · doi:10.1371/journal.pone.0293622 · Cited by 4 · see citing works
Hanssen, D. J. C., Voshaar, R. C. O., Naarding, P., Rabeling-Keus, I. M., Hartman, T. O., & Lucassen, P. L. (2016) · Family Practice · doi:10.1093/fampra/cmw067 · Cited by 4 · see citing works
Arvind, B., Sukumar, G. M., Kupatira, K., Pradeep, B., & Gururaj, G. (2020) · Journal of Family Medicine and Primary Care · doi:10.4103/jfmpc.jfmpc_1107_19 · Cited by 4 · see citing works
- Authors
- Smits, F. T., Brouwer, H. J., ter Riet, G., & van Weert, H. C.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Smits, Frans ThM
- ORCID
- Smits, Frans ThM
- Venue
- BMC Public Health
- Published
- 2009-01-24
- Volume
- 9
- Issue
- 1
- Pages
- 36-36
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC2649070
- OpenAlex
- W1976363983
- Cited by
- 139
- References
- 30
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 5 · 2023: 8 · 2022: 3 · 2021: 10 · 2020: 12 · 2019: 15 · 2018: 12 · 2017: 10 · 2016: 17 · 2015: 8 · 2014: 5 · 2013: 10 · 2012: 6
- FWCI
- 11.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UvA-DARE (University of Amsterdam) (publishedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- UvA-DARE (University of Amsterdam) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Universiteit van Amsterdam
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Keywords
- frequent attenders, general practitioner workload, morbidity, prescribing patterns, psychotropic drugs, medically unexplained physical symptoms, mental illness, social problems, chronic somatic diseases, diabetes mellitus, primary care utilization, International Classification of Primary Care
- MeSH terms
- Adolescent, Adult, Age Factors, Drug Utilization, Family Practice, Female, Health Services Misuse, Humans, Male, Middle Aged, Morbidity, Netherlands, Office Visits, Physician-Patient Relations, Probability, Sensitivity and Specificity, Sex Factors, Cohort Studies, Incidence, Survival Analysis, Health Care Surveys, Prescriptions, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
