Intervention among frequent attenders of the out-of-hours service: a stratified cluster randomized controlled trial

Scandinavian Journal of Primary Health Care
M B ChristensenFrede Olesen

Abstract

To investigate whether the number of frequent attenders (FA) contacts with the out-of-hours service can be reduced by deploying a combination of intervention strategies. A stratified cluster randomized controlled trial, each cluster containing a general practice and all its listed patients. The out-of-hours service in the county of Northern Jutland (490,000 inhabitants), Denmark. The following intervention strategies were deployed: predisposition, individual instruction, economic incitement, continuing medical education meetings, feedback/reminder, and patient-mediated intervention. An intervention group of 3500 patients and a control group of 4635 patients. Absolute and relative fall in the number of contacts with the out-of-hours service per patient after 6 and 12 months. Analysed by group, intervention patients saw a more pronounced decline in the number of contacts than controls, except for two outcomes. However, this difference was only significant after 12 months. For women aged 17-66 years with 5-9 contacts during the previous 12 months, the decrease was significantly more pronounced in the intervention group for all outcomes (p=0.004-0.042). However, for the rest of the subgroups the effect varied more, and in several c...Continue Reading

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Citations

Jun 22, 2012·Primary Health Care Research & Development·Anne-Marie BagnallAlan K White
Apr 17, 2008·BMC Family Practice·Frans T M SmitsHenk C P M van Weert
May 17, 2008·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Juan Angel BellónFrancisco Torres-González
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Jan 27, 2015·European Journal of Public Health·Alessandra BujaVincenzo Baldo
Jul 14, 2016·Scandinavian Journal of Primary Health Care·Camilla Kjellstadli ThoresenSteinar Hunskaar
Nov 9, 2016·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Gail N HaywardDaniel S Lasserson
Jul 9, 2008·Scandinavian Journal of Primary Health Care·Ann-Sofie BackmanJohanna Adami
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Nov 10, 2017·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jeremy Y Ng, Anna R Gagliardi
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Jun 24, 2008·Scandinavian Journal of Primary Health Care·Frans Th M SmitsHenk C P M Van Weert
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Sep 16, 2021·The Cochrane Database of Systematic Reviews·Louise ForsetlundChristopher J Rose

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