PMID: 9542702Jun 6, 1998Paper

Frequent users of rural primary care: comparisons with randomly selected users

The Journal of the American Board of Family Practice
L E Mehl-Madrona

Abstract

Frequent users of primary care have not been adequately characterized. The unique characteristics of this population was sought--why they come so often, what their care costs, and whether psychosocial factors play a role in their high utilization of health care. The billing system of a rural primary care clinic was used to find the frequency of visits for all patients attending the clinic for the previous 12 months. The 211 most frequent visitors were selected. A comparison group of 250 patients was drawn from the billing records using a random number generator. Charts were reviewed to compare diagnoses (by frequency), number of procedures, amount billed for care, amount received from those billings, number of psychotropic medications prescribed, and response to medication. A subgroup of each group was interviewed to confirm chart review findings and to inquire about personal reasons for coming to the clinic. Compared with patients who were random users, patients who were frequent users were more likely to come from the younger and older age groups, they averaged significantly more emergency department visits and visits to other specialists (P < 0.0001), and they had more mental health problems diagnosed (P < 0.01). Significant...Continue Reading

Citations

Dec 4, 2004·Annals of Family Medicine·David E HildebrandtJacqueline Stern
Jun 26, 2009·Patient Education and Counseling·Sasson NakarShlomo Vinker
Jun 6, 2007·Social Work in Health Care·Maria de Fátima de Campos FrançozoTereza Ribeiro de Freitas Rossi
Aug 11, 2011·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Melissa KleinTrisha Taylor
Jun 24, 2010·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Lewis Mehl-Madrona
Sep 14, 2018·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Tegan CruwysJolanda Jetten

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