• Corpus ID: 28780815

A cognitive analytic framework for understanding and managing problematic frequent attendance in primary care

@article{Pickvance2005ACA,
  title={A cognitive analytic framework for understanding and managing problematic frequent attendance in primary care},
  author={Deborah Pickvance and Glenys Parry and Amanda Howe},
  journal={Mental health in family medicine},
  year={2005}
}
Aim To develop and demonstrate the use of a systematic approach to identifying and managing problematic frequent attendance in primarycare. Study type Phase I: development of intervention. Setting Two urban primary care practices. Method Patients were identified whose attendance at the practice was inappropriately frequent, using a statistical method djusting for age and sex and an operational definition of ‘problematic’ attendance. Three in-depth interviews were conducted with a subsample of… 

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References

SHOWING 1-10 OF 25 REFERENCES
Understanding patient-initiated frequent attendance in primary care: a case-control study.
TLDR
There is evidence that patient-initiated frequent attendance is related to genuine physical and psychosocial needs; therefore, recognition requires a bio-psychosocial approach on the part of GP.
Frequent attenders in general practice: an attempt to reduce attendance.
  • M. Jiwa
  • Medicine, Psychology
    Family practice
  • 2000
TLDR
Frequent attenders often have multiple problems, but prominently displayed summaries of their history for use by GPs during consultations do not reduce the frequency of consultations.
Psychosocial, lifestyle, and health status variables in predicting high attendance among adults.
TLDR
Strategies to manage somatic symptoms, health anxiety, dealing with the causes of--or treating--anxiety and depression, and encouraging use of the pharmacy have the potential both to help patients manage symptoms and in the decision to consult.
'I always seem to be there'--a qualitative study of frequent attenders.
  • R. Neal, P. Heywood, S. Morley
  • Medicine, Psychology
    The British journal of general practice : the journal of the Royal College of General Practitioners
  • 2000
TLDR
The control that GPs were perceived to have over the pattern of consulting, for example concerning prescribing, review visits, and in addressing further help-seeking behaviour, may provide more possibilities for developing intervention strategies than targeting frequent attenders themselves.
Frequency of patients' consulting in general practice and workload generated by frequent attenders: comparisons between practices.
TLDR
Analysis and modelling of a validated data set of date records of consultations collected routinely over a 41-month period from four practices in and around Leeds found that frequent attenders have an important effect on GPs clinical workload.
A short-term intervention in a multidisciplinary referral clinic for primary care frequent attenders: description of the model, patient characteristics and their use of medical resources.
TLDR
The results of this uncontrolled pilot study suggest that this intervention helped to modify illness behaviour, decreasing the costs of medical investigations.
Defining frequent attendance: evidence for routine age and sex correction in studies from primary care settings.
TLDR
This study shows that studies that do not correct for age and sex variations in consultation will miss a significant proportion of patients whose behaviour differs widely from their peers, and suggests a simple correction that could be utilised in primary care studies without requiring sophisticated statistical analyses.
Stability of attendance in general practice.
TLDR
The results showed that whilst the patient populations remained constant over the two periods, these populations were not comprised of the same patients and were found to suffer from more self-limiting diseases and conditions such as depression and pregnancy.
Effects of guided written disclosure of stressful experiences on clinic visits and symptoms in frequent clinic attenders.
TLDR
The findings extend previous findings to frequent clinic users, using a new form of written disclosure aimed at shifting trauma from implicit to explicit memory and may be an inexpensive additional intervention in primary care for reducing symptoms and clinic visits among frequent clinic attendees.
Freight trains and supernovas: the use of a sorting task to determine patterns within long-term frequent attendance to general practitioners
TLDR
A sorting task was used to identify the important features of patterns of attendance to general practitioners generated by frequent attenders over a period of 44 months, and the results have implications both for general practice and for future research.
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