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Scandinavian Journal of Public Health, Vol. 33, No. 3, 228-232 (2005)
DOI: 10.1080/14034940510005761

Consultations for injuries by frequent attenders are found to be medically appropriate from general practitioners' perspective

Håkan Bergh

Research and Development Unit, Primary Health Care, County Council Halland, Falkenberg, Sweden, Department of Primary Health Care, Göteborg University, Göteborg, Sweden, hakan.bergh{at}lthalland.se

Amir Baigi

Research and Development Unit, Primary Health Care, County Council Halland, Falkenberg, Sweden, Department of Primary Health Care, Göteborg University, Göteborg, Sweden

Bertil Marklund

Research and Development Unit, Primary Health Care, County Council Halland, Falkenberg, Sweden, Department of Primary Health Care, Göteborg University, Göteborg, Sweden

Aims: A study was carried out to determine whether frequent attenders' (FAs') consultations for injuries are medically appropriate or not. Methods: A retrospective review was undertaken of medical records in a primary healthcare centre. All injury consultations by frequent attenders and controls during a period of one year were evaluated by two general practitioners (GPs). Outcome variables were: number of injuries, chronic diseases, type of injuries, and their treatments. The GPs made a comprehensive picture of each case and evaluated whether it was medically appropriate to consult a doctor or not. Results: Injuries were 7.2 times more common among frequent attenders compared with the controls. Frequent attenders had significantly more chronic diseases. Mean number of injury consultations was the same for frequent attenders with or without chronic disease. There was no difference concerning medically appropriate consultations between frequent attenders and controls. Conclusions: Consultations for injuries with frequent attenders were considered medically appropriate. Chronic diseases did not explain the higher injury incidence among frequent attenders. These findings are interesting and contradict the opinion that increased healthcare consumption by FAs is a waste of resources. Our findings may suggest that FAs are more vulnerable individuals.

Key Words: Frequent attenders • injuries • medically appropriate consultations • primary healthcare


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