经常接触全科医生的患者的特征:一项回顾性研究。

IF 2 Q2 PRIMARY HEALTH CARE
BJGP Open Pub Date : 2025-07-29 DOI:10.3399/BJGPO.2024.0195
Jesper B Nielsen, Helene S Andersen
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引用次数: 0

摘要

背景:在全科实践中,频繁就诊的患者(每年约11次就诊)比大多数其他患者使用更多的资源。目的:研究与年龄、性别、接触方式(面对面、电子邮件或电话)和患者接触(全科医生或全科医生工作人员)相关的频繁就诊特征。设计与设置:对丹麦患者数据集进行回顾性分析。方法:我们使用了来自11个丹麦全科医生诊所和38874名患者的12个月的患者数据。对患者资料进行了双变量和回归分析。结果:各年龄层均存在频繁上网者,但频率不同。在55-64岁年龄组中,25%的患者经常就诊,在65-74岁年龄组中,这一比例在下一个10年增加到33%,在≥75岁年龄组中达到48%。与其他患者相比,频繁就诊的患者在就诊、电话咨询或电子邮件咨询方面有不同的用户模式。在与全科医生诊所的接触中,与其他患者相比,频繁就诊者与实习人员的接触相对较多。结论:在我们的丹麦患者人群中,22%的人每年与他们的全科医生诊所接触1,1,011次。这些经常就诊的人通常是女性,年龄在65岁至65岁之间,每年与全科医生诊所接触20次,诊断≥10次。对于整个患者群体,全科医生处理36%的患者接触(64%由其他工作人员处理),这一比例在经常就诊的患者中最低。与其他患者相比,频繁就诊的患者更常使用电子邮件联系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characteristics of patients with frequent contact with general practice: a retrospective study.

Background: Frequent attenders (>11 annual contacts) use more resources than most other patients in general practice.

Aim: To study what characterises frequent attenders in relation to age, sex, mode of contact (face to face, email, or phone), and patient contact (GP or GP staff).

Design & setting: A retrospective analysis of Danish patient datasets in general practice.

Method: We used 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.

Results: 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 aged ≥75 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 with other patients.

Conclusion: Within our Danish patient population, 22% had >11 annual contacts to their GP clinic. These frequent attenders are in general terms characterised by being female, aged >65 years, having 20 annual contacts to the GP clinic, and having ≥10 diagnoses. For the entire patient population, the GP handles 36% of the patient contacts (64% by other staff members), and this percentage is lowest among frequent attenders. Email contact is used more often among frequent attenders than other patients.

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来源期刊
BJGP Open
BJGP Open Medicine-Family Practice
CiteScore
5.00
自引率
0.00%
发文量
181
审稿时长
22 weeks
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