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Title: [Frequent attendance in a Primary Health Care District].
Other Titles: Estudio de la hiperfrecuentación en un distrito de atención primaria.
Authors: Menéndez Granados, Nicolás
Vaquero Abellán, Manuel
Toledano Estepa, Manuel
Pérez Díaz, Manuel Modesto
Redondo Pedraza, Rosa
Keywords: Atención primaria de salud;Distribución espacial de la población;Estudio observacional;Health facility size;Medical overuse;Observational study;Primary health care;Residence characteristics;Tamaño de las instituciones de salud;Uso excesivo de los servicios de salud
metadata.dc.subject.mesh: Adolescent
Child, Preschool
Infant, Newborn
Medical Overuse
Middle Aged
Primary Health Care
Young Adult
Issue Date: 10-Oct-2017
Abstract: To describe the distribution of frequent attenders (FA) through the different primary care practices in Cordoba-Guadalquivir Health District (Córdoba, Spain). An ecological study was performed, including data from 2011 to 2015. Defining FA as those subjects who made12 or more appointments per year; independently analysed for nursing, general practice and paediatrics. Prevalence of frequent attendance and FA/professional ratio were used as dependent variables. Demographic characteristics from district population, number of health professionals and use of general facilities were also examinated. Aiming to understand FA distribution, primary health settings were classified according to facility size and environmental location (urban, suburban and rural). The mean prevalence for FA was 10.86% (0.5 SE) for nursing; general practice 21.70% (0.7 SE) and for paediatrics 16.96% (0.7 SE). FA/professional ratios for the different professional categories were: 101.07 (5.0 SE) for nursing, 239.74 (9.0 SE) for general practice and 159.54 (9.8 SE) for paediatrics. A major part of primary health care users make a high number of consultations. From this group, women overuse nursing and general practitioner services more compared to men. A higher prevalence of FAs was observed in smaller settings, in rural areas. Although taking the FAs:professional ratio as the bar, medium-size practices are more highly overused.
metadata.dc.identifier.doi: 10.1016/j.gaceta.2017.07.011
Appears in Collections:Producción 2020

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