Author/Editor		Kersnik, Janko; Švab, Igor; Vegnuti, Miljana
Title		Frequent attenders in general practice: quality of life, patient satisfaction, use of medical services and GP characteristics.
Type		članek
Source		Scand J Prim Health Care
Vol. and No.		Letnik 19, št. 3
Publication year		2001
Volume		str. 174-7
Language		eng
Abstract		Objective: To determine the predictors of frequent attendance in general practice. Design: A postal survey using a questionnaire including instruments for measuring patient satisfaction (EUROPEP), quality of life EUROQOL), anxiety and depression (DUKE-AD). Setting: Primary health care in Slovenia. Patients: A representative sample of 2160 adult patients. Main outcome measures: Number of contacts with the health care services, levels of self-care, patient satisfaction scores, quality of life scores, well-being scores, presence of chronic condition. Results: Frequent attenders were more likely to have lower educational status, were more satisfied with their GP, had higher scores of anxiety and depression, and lower perceived quality of life. They were more likely to have a chronic disease. Frequent attenders were less likely to try self-care and more likely to use health services. They were more likely to visit more experienced GPs, GPs working a greater distance from other GPs and GPs who did not use the appointment system. The multivariable modelling explained 19.7% of the variation; 16.9% was attributed to patient characteristics and 3.1% to GP characteristics. Conclusions: The study confirmed that lower education levels, chronicity and higher use of other health services are predictors of higher attendance.
Descriptors		PRIMARY HEALTH CARE AMBULATORY CARE OFFICE VISITS PATIENT SATISFACTION ADULT MULTIVARIATE ANALYSIS QUALITY OF LIFE ANXIETY DEPRESSION