Determinants of frequent attendance in Danish general practice: a cohort-based cross-sectional study

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Determinants of frequent attendance in Danish general practice : a cohort-based cross-sectional study. / Jørgensen, Jeanette Therming; Andersen, John Sahl; Tjønneland, Anne; Andersen, Zorana Jovanovic.

In: B M C Family Practice, Vol. 17, 9, 28.01.2016, p. 1-10.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Jørgensen, JT, Andersen, JS, Tjønneland, A & Andersen, ZJ 2016, 'Determinants of frequent attendance in Danish general practice: a cohort-based cross-sectional study', B M C Family Practice, vol. 17, 9, pp. 1-10. https://doi.org/10.1186/s12875-016-0412-4

APA

Jørgensen, J. T., Andersen, J. S., Tjønneland, A., & Andersen, Z. J. (2016). Determinants of frequent attendance in Danish general practice: a cohort-based cross-sectional study. B M C Family Practice, 17, 1-10. [9]. https://doi.org/10.1186/s12875-016-0412-4

Vancouver

Jørgensen JT, Andersen JS, Tjønneland A, Andersen ZJ. Determinants of frequent attendance in Danish general practice: a cohort-based cross-sectional study. B M C Family Practice. 2016 Jan 28;17:1-10. 9. https://doi.org/10.1186/s12875-016-0412-4

Author

Jørgensen, Jeanette Therming ; Andersen, John Sahl ; Tjønneland, Anne ; Andersen, Zorana Jovanovic. / Determinants of frequent attendance in Danish general practice : a cohort-based cross-sectional study. In: B M C Family Practice. 2016 ; Vol. 17. pp. 1-10.

Bibtex

@article{6e4da09e05a644d89ca842474b378d0c,
title = "Determinants of frequent attendance in Danish general practice: a cohort-based cross-sectional study",
abstract = "BACKGROUND: Previous studies addressing determinants of frequent attendance have mainly focused on socio-demographic, psychosocial and medical factors, and few had data on lifestyle and gender-specific factors. This study aims to describe determinants of general practice frequent attendance in Danish adult population, by examining lifestyle, socio-demographic, medical and gender-specific factors.METHOD: For 54,849 participants of the Danish Diet, Cancer and Health cohort (50-65 year old) we obtained data on visits to general practitioner (GP) from the Danish National Health Service Register at cohort baseline (1993-97), when information on medical conditions and lifestyle, socio-demographic and gender-specific factors was collected by questionnaire. Logistic regression was used to identify determinants of frequent attendance, defined as top 10 {\%} GP users at the year of recruitment into the cohort (baseline) in the period between 1993 and 1997.RESULTS: Frequent attenders accounted for 40 {\%} of all face-to-face GP consultations with a mean 12 visits/year. Women were more likely to be frequent attenders, in crude (Odds ratio: 1.95; 95 {\%} Confidence Interval: 1.85-2.06) and fully adjusted (1.26; 1.09-1.47) model. In a fully adjusted model, strongest determinants of frequent attendance were pre-existing medical conditions, with hypertension (2.58; 2.42-2.75), diabetes (2.24; 1.94-2.59), and mental illness (2.29; 2.09-2.52) more than doubling the odds of being FA. High education (0.63; 0.57-0.69, >4 years higher education vs. no vocational training) and employment (0.61; 0.57-0.65) were inversely associated with frequent attendance. Finally, obesity (1.54; 1.14-2.08), smoking (1.21; 1.12-1.30, current vs. never), physical activity (0.84; 0.80-89), alcohol consumption (0.83; 0.78-0.87 above vs. below recommended level), and hormone therapy in women (1.52; 1.42-1.63) were all significant determinants of frequent attendance.CONCLUSIONS: In addition to pre-existing medical conditions, gender, socio-demographic and gender-specific factors, lifestyle (obesity, smoking, exercise and alcohol use) is also an independent determinant of frequent attendance at general practitioner.",
author = "J{\o}rgensen, {Jeanette Therming} and Andersen, {John Sahl} and Anne Tj{\o}nneland and Andersen, {Zorana Jovanovic}",
year = "2016",
month = "1",
day = "28",
doi = "10.1186/s12875-016-0412-4",
language = "English",
volume = "17",
pages = "1--10",
journal = "B M C Family Practice",
issn = "1471-2296",
publisher = "BioMed Central Ltd.",

}

RIS

TY - JOUR

T1 - Determinants of frequent attendance in Danish general practice

T2 - a cohort-based cross-sectional study

AU - Jørgensen, Jeanette Therming

AU - Andersen, John Sahl

AU - Tjønneland, Anne

AU - Andersen, Zorana Jovanovic

PY - 2016/1/28

Y1 - 2016/1/28

N2 - BACKGROUND: Previous studies addressing determinants of frequent attendance have mainly focused on socio-demographic, psychosocial and medical factors, and few had data on lifestyle and gender-specific factors. This study aims to describe determinants of general practice frequent attendance in Danish adult population, by examining lifestyle, socio-demographic, medical and gender-specific factors.METHOD: For 54,849 participants of the Danish Diet, Cancer and Health cohort (50-65 year old) we obtained data on visits to general practitioner (GP) from the Danish National Health Service Register at cohort baseline (1993-97), when information on medical conditions and lifestyle, socio-demographic and gender-specific factors was collected by questionnaire. Logistic regression was used to identify determinants of frequent attendance, defined as top 10 % GP users at the year of recruitment into the cohort (baseline) in the period between 1993 and 1997.RESULTS: Frequent attenders accounted for 40 % of all face-to-face GP consultations with a mean 12 visits/year. Women were more likely to be frequent attenders, in crude (Odds ratio: 1.95; 95 % Confidence Interval: 1.85-2.06) and fully adjusted (1.26; 1.09-1.47) model. In a fully adjusted model, strongest determinants of frequent attendance were pre-existing medical conditions, with hypertension (2.58; 2.42-2.75), diabetes (2.24; 1.94-2.59), and mental illness (2.29; 2.09-2.52) more than doubling the odds of being FA. High education (0.63; 0.57-0.69, >4 years higher education vs. no vocational training) and employment (0.61; 0.57-0.65) were inversely associated with frequent attendance. Finally, obesity (1.54; 1.14-2.08), smoking (1.21; 1.12-1.30, current vs. never), physical activity (0.84; 0.80-89), alcohol consumption (0.83; 0.78-0.87 above vs. below recommended level), and hormone therapy in women (1.52; 1.42-1.63) were all significant determinants of frequent attendance.CONCLUSIONS: In addition to pre-existing medical conditions, gender, socio-demographic and gender-specific factors, lifestyle (obesity, smoking, exercise and alcohol use) is also an independent determinant of frequent attendance at general practitioner.

AB - BACKGROUND: Previous studies addressing determinants of frequent attendance have mainly focused on socio-demographic, psychosocial and medical factors, and few had data on lifestyle and gender-specific factors. This study aims to describe determinants of general practice frequent attendance in Danish adult population, by examining lifestyle, socio-demographic, medical and gender-specific factors.METHOD: For 54,849 participants of the Danish Diet, Cancer and Health cohort (50-65 year old) we obtained data on visits to general practitioner (GP) from the Danish National Health Service Register at cohort baseline (1993-97), when information on medical conditions and lifestyle, socio-demographic and gender-specific factors was collected by questionnaire. Logistic regression was used to identify determinants of frequent attendance, defined as top 10 % GP users at the year of recruitment into the cohort (baseline) in the period between 1993 and 1997.RESULTS: Frequent attenders accounted for 40 % of all face-to-face GP consultations with a mean 12 visits/year. Women were more likely to be frequent attenders, in crude (Odds ratio: 1.95; 95 % Confidence Interval: 1.85-2.06) and fully adjusted (1.26; 1.09-1.47) model. In a fully adjusted model, strongest determinants of frequent attendance were pre-existing medical conditions, with hypertension (2.58; 2.42-2.75), diabetes (2.24; 1.94-2.59), and mental illness (2.29; 2.09-2.52) more than doubling the odds of being FA. High education (0.63; 0.57-0.69, >4 years higher education vs. no vocational training) and employment (0.61; 0.57-0.65) were inversely associated with frequent attendance. Finally, obesity (1.54; 1.14-2.08), smoking (1.21; 1.12-1.30, current vs. never), physical activity (0.84; 0.80-89), alcohol consumption (0.83; 0.78-0.87 above vs. below recommended level), and hormone therapy in women (1.52; 1.42-1.63) were all significant determinants of frequent attendance.CONCLUSIONS: In addition to pre-existing medical conditions, gender, socio-demographic and gender-specific factors, lifestyle (obesity, smoking, exercise and alcohol use) is also an independent determinant of frequent attendance at general practitioner.

U2 - 10.1186/s12875-016-0412-4

DO - 10.1186/s12875-016-0412-4

M3 - Journal article

C2 - 26821807

VL - 17

SP - 1

EP - 10

JO - B M C Family Practice

JF - B M C Family Practice

SN - 1471-2296

M1 - 9

ER -

ID: 156968960