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01-07-2015 | Beschouwing
Frequente bezoekers: hoe vaak, wie en waarom?
Auteur: dr. Frans Smits
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Samenvatting
Smits FTM. Frequente bezoekers: hoe vaak, wie en waarom? Huisarts Wet 2015;58(7):358-61.
Patiënten die hun huisarts vaak bezoeken, hebben gemiddeld vaker een (chronische) ziekte, kosten meer spreekuurtijd, bezoeken vaker de specialist en genereren meer kosten in de zorg dan mensen die zo nu en dan eens op consult komen. Ongeveer 30% van deze ‘frequente bezoekers’ blijft ook het jaar daarna vaak komen. Zulk langdurig frequent bezoek kan een signaal zijn van onderliggende, vaak psychosociale problemen. Dit artikel geeft een definitie van ‘frequente bezoeker’ en een overzicht van de achtergronden en aandoeningen die deze groep kenmerken. Na een inventarisatie van de kosten die deze groep patiënten maakt in de hele zorg, onderzoeken we waarom de huisarts de meest geschikte persoon is om hun problematiek op te sporen, te diagnosticeren en te behandelen.
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Literatuur
1.
go back to reference Smits FT, Brouwer HJ, Ter Riet G, Van Weert HC. Epidemiology of frequent attenders: a 3-year historic cohort study comparing attendance, morbidity and prescriptions of one-year and persistent frequent attenders. BMC Public Health 2009;9:36.PubMedCentralPubMedCrossRef
Smits FT, Brouwer HJ, Ter Riet G, Van Weert HC. Epidemiology of frequent attenders: a 3-year historic cohort study comparing attendance, morbidity and prescriptions of one-year and persistent frequent attenders. BMC Public Health 2009;9:36.PubMedCentralPubMedCrossRef
2.
go back to reference Smits FT, Brouwer HJ, Zwinderman AH, Mohrs J, Schene AH, Van Weert HC, et al. Why do they keep coming back? Psychosocial etiology of persistence of frequent attendance in primary care: A prospective cohort study. J Psychosom Res 2014;77:492-503.PubMedCrossRef
Smits FT, Brouwer HJ, Zwinderman AH, Mohrs J, Schene AH, Van Weert HC, et al. Why do they keep coming back? Psychosocial etiology of persistence of frequent attendance in primary care: A prospective cohort study. J Psychosom Res 2014;77:492-503.PubMedCrossRef
3.
go back to reference Vedsted P, Fink P, Olesen F, Munk-Jorgensen P. Psychological distress as a predictor of frequent attendance in family practice: a cohort study. Psychosomatics 2001;42:416-22.PubMedCrossRef
Vedsted P, Fink P, Olesen F, Munk-Jorgensen P. Psychological distress as a predictor of frequent attendance in family practice: a cohort study. Psychosomatics 2001;42:416-22.PubMedCrossRef
4.
go back to reference Van der Ploeg HM. Persoonlijkheid en medische consumptie. Een onderzoek naar de relatie van persoonlijkheidsfactoren en de frequentie van huisartsbezoek Lisse: Swets & amp; Zeitlinger, 1980.
Van der Ploeg HM. Persoonlijkheid en medische consumptie. Een onderzoek naar de relatie van persoonlijkheidsfactoren en de frequentie van huisartsbezoek Lisse: Swets & amp; Zeitlinger, 1980.
5.
go back to reference Smits FT. Why do they keep coming back? Persistent frequent attenders in primary care [dissertation]. Amsterdam: University of Amsterdam: Department of General Practice, 2014.
Smits FT. Why do they keep coming back? Persistent frequent attenders in primary care [dissertation]. Amsterdam: University of Amsterdam: Department of General Practice, 2014.
6.
go back to reference Dwamena FC, Lyles JS, Frankel RM, Smith RC. In their own words: qualitative study of high-utilising primary care patients with medically unexplained symptoms. BMC Fam Pract 2009;10:6-7.CrossRef
Dwamena FC, Lyles JS, Frankel RM, Smith RC. In their own words: qualitative study of high-utilising primary care patients with medically unexplained symptoms. BMC Fam Pract 2009;10:6-7.CrossRef
7.
go back to reference Neal RD, Heywood PL, Morley S. ‘I always seem to be there’: a qualitative study of frequent attenders. Br J Gen Pract 2000;50:716-23.PubMedCentralPubMed
Neal RD, Heywood PL, Morley S. ‘I always seem to be there’: a qualitative study of frequent attenders. Br J Gen Pract 2000;50:716-23.PubMedCentralPubMed
8.
go back to reference Hodgson P, Smith P, Brown T, Dowrick C. Stories from frequent attenders: a qualitative study in primary care. Ann Fam Med 2005;3:318-23.PubMedCentralPubMedCrossRef
Hodgson P, Smith P, Brown T, Dowrick C. Stories from frequent attenders: a qualitative study in primary care. Ann Fam Med 2005;3:318-23.PubMedCentralPubMedCrossRef
9.
go back to reference Huygen FJ. Family medicine: the medical life history of families. Assen: Van Gorcum, 1978.
Huygen FJ. Family medicine: the medical life history of families. Assen: Van Gorcum, 1978.
10.
go back to reference Campbell TL. Family’s impact on health: a critical review. Fam Syst Med 1986;4:135-336.CrossRef
Campbell TL. Family’s impact on health: a critical review. Fam Syst Med 1986;4:135-336.CrossRef
11.
go back to reference IJzermans CJ, Oskam SK. Clustering, continuïteit en comorbiditeit in de huisartsenpraktijk [proefschrift]. Amsterdam: Universiteit van Amsterdam, 1990.
IJzermans CJ, Oskam SK. Clustering, continuïteit en comorbiditeit in de huisartsenpraktijk [proefschrift]. Amsterdam: Universiteit van Amsterdam, 1990.
12.
go back to reference Taylor RE, Marshall T, Mann A, Goldberg DP. Insecure attachment and frequent attendance in primary care: a longitudinal cohort study of medically unexplained symptom presentations in ten UK general practices. Psychol Med 2012;42:855-64.PubMedCrossRef
Taylor RE, Marshall T, Mann A, Goldberg DP. Insecure attachment and frequent attendance in primary care: a longitudinal cohort study of medically unexplained symptom presentations in ten UK general practices. Psychol Med 2012;42:855-64.PubMedCrossRef
13.
go back to reference Ciechanowski PS, Walker EA, Katon WJ, Russo JE. Attachment theory: a model for health care utilization and somatization. Psychosom Med 2002;64:660-7.PubMed
Ciechanowski PS, Walker EA, Katon WJ, Russo JE. Attachment theory: a model for health care utilization and somatization. Psychosom Med 2002;64:660-7.PubMed
14.
go back to reference Van der Linden MW, Westert GP, De Bakker DH, Schellevis FG. Tweede Nationale Studie naar ziekten en verrichtingen in de huisartsenpraktijk: Klachten en aandoeningen in de bevolking en in de huisartsenpraktijk. Utrecht/Bilthoven: NIVEL/RIVM, 2004.
Van der Linden MW, Westert GP, De Bakker DH, Schellevis FG. Tweede Nationale Studie naar ziekten en verrichtingen in de huisartsenpraktijk: Klachten en aandoeningen in de bevolking en in de huisartsenpraktijk. Utrecht/Bilthoven: NIVEL/RIVM, 2004.
15.
go back to reference Smits FT, Mohrs J, Beem E, Bindels PJ, Van Weert HC. Defining frequent attendance in general practice. BMC Fam Pract 2008;9:21.PubMedCentralPubMedCrossRef
Smits FT, Mohrs J, Beem E, Bindels PJ, Van Weert HC. Defining frequent attendance in general practice. BMC Fam Pract 2008;9:21.PubMedCentralPubMedCrossRef
16.
go back to reference Wennberg JE. Dealing with medical practice variations: a proposal for action. Health Aff (Millwood) 1984;3:6-32.CrossRef
Wennberg JE. Dealing with medical practice variations: a proposal for action. Health Aff (Millwood) 1984;3:6-32.CrossRef
17.
go back to reference Bellon JA, Fernandez-Asensio ME. Emotional profile of physicians who interview frequent attenders. Patient Educ Couns 2002;48:33-41.PubMedCrossRef
Bellon JA, Fernandez-Asensio ME. Emotional profile of physicians who interview frequent attenders. Patient Educ Couns 2002;48:33-41.PubMedCrossRef
18.
go back to reference Tielens VC. Consulten van huisartsen: Een onderzoek naar verschillen [proefschrift]. Nijmegen: Katholieke Universiteit, 1987.
Tielens VC. Consulten van huisartsen: Een onderzoek naar verschillen [proefschrift]. Nijmegen: Katholieke Universiteit, 1987.
19.
go back to reference Vedsted P, Christensen MB. Frequent attenders in general practice care: a literature review with special reference to methodological considerations. Public Health 2005;119:118-37.PubMedCrossRef
Vedsted P, Christensen MB. Frequent attenders in general practice care: a literature review with special reference to methodological considerations. Public Health 2005;119:118-37.PubMedCrossRef
20.
go back to reference Scaife B, Gill P, Heywood P, Neal R. Socio-economic characteristics of adult frequent attenders in general practice: secondary analysis of data. Fam Pract 2000;17:298-304.PubMedCrossRef
Scaife B, Gill P, Heywood P, Neal R. Socio-economic characteristics of adult frequent attenders in general practice: secondary analysis of data. Fam Pract 2000;17:298-304.PubMedCrossRef
21.
go back to reference Rifel J, Svab I, Selic P, Rotar Pavlic D, Nazareth I, Car J. Association of common mental disorders and quality of life with the frequency of attendance in slovenian family medicine practices: longitudinal study. PLoS ONE 2013;8:e54241.PubMedCentralPubMedCrossRef
Rifel J, Svab I, Selic P, Rotar Pavlic D, Nazareth I, Car J. Association of common mental disorders and quality of life with the frequency of attendance in slovenian family medicine practices: longitudinal study. PLoS ONE 2013;8:e54241.PubMedCentralPubMedCrossRef
22.
go back to reference Smits FT, Brouwer HJ, Schene AH, Van Weert HC, Ter Riet G. Chronic and certain or minor and uncertain? The content of care episodes of (persistent) frequent attenders. Unpublished 2014.
Smits FT, Brouwer HJ, Schene AH, Van Weert HC, Ter Riet G. Chronic and certain or minor and uncertain? The content of care episodes of (persistent) frequent attenders. Unpublished 2014.
23.
go back to reference Smits FT, Brouwer HJ, Zwinderman AH, Mohrs J, Smeets HM, Bosmans JE, et al. Morbidity and doctor characteristics only partly explain the substantial healthcare expenditures of frequent attenders: a record linkage study between patient data and reimbursements data. BMC Fam Pract 2013;14:138.PubMedCentralPubMedCrossRef
Smits FT, Brouwer HJ, Zwinderman AH, Mohrs J, Smeets HM, Bosmans JE, et al. Morbidity and doctor characteristics only partly explain the substantial healthcare expenditures of frequent attenders: a record linkage study between patient data and reimbursements data. BMC Fam Pract 2013;14:138.PubMedCentralPubMedCrossRef
24.
go back to reference Neal RD, Heywood PL, Morley S, Clayden AD, Dowell AC. Frequency of patients’ consulting in general practice and workload generated by frequent attenders: comparisons between practices. Br J Gen Pract 1998;48:895-8.PubMedCentralPubMed
Neal RD, Heywood PL, Morley S, Clayden AD, Dowell AC. Frequency of patients’ consulting in general practice and workload generated by frequent attenders: comparisons between practices. Br J Gen Pract 1998;48:895-8.PubMedCentralPubMed
25.
go back to reference Smits FT, Brouwer HJ, Zwinderman AH, Mohrs J, Bosmans J, Schene A, et al. Frequente bezoekers van de huisarts maken hoge kosten in de eerste en tweede lijn. Ned Tijdschr Geneeskd 2014;158:A7117.
Smits FT, Brouwer HJ, Zwinderman AH, Mohrs J, Bosmans J, Schene A, et al. Frequente bezoekers van de huisarts maken hoge kosten in de eerste en tweede lijn. Ned Tijdschr Geneeskd 2014;158:A7117.
26.
go back to reference Heywood PL, Blackie GC, Cameron IH, Dowell AC. An assessment of the attributes of frequent attenders to general practice. Fam Pract 1998;15:198-204.PubMedCrossRef
Heywood PL, Blackie GC, Cameron IH, Dowell AC. An assessment of the attributes of frequent attenders to general practice. Fam Pract 1998;15:198-204.PubMedCrossRef
27.
go back to reference Smits FTM, Brouwer HJ, Ter Riet G, Van Weert HC. Predictability of persistent frequent attendance. A historic 3-year cohort study. Br J Gen Pract 2009;59:e44-50.PubMedCentralPubMedCrossRef
Smits FTM, Brouwer HJ, Ter Riet G, Van Weert HC. Predictability of persistent frequent attendance. A historic 3-year cohort study. Br J Gen Pract 2009;59:e44-50.PubMedCentralPubMedCrossRef
28.
go back to reference Smits FT, Brouwer HJ, Zwinderman AH, Van den Akker M, Van Steenkiste B, Mohrs J, et al. Predictability of persistent frequent attendance in primary care: a temporal and geographical validation study. PLoS One 2013;8:e73125.PubMedCentralPubMedCrossRef
Smits FT, Brouwer HJ, Zwinderman AH, Van den Akker M, Van Steenkiste B, Mohrs J, et al. Predictability of persistent frequent attendance in primary care: a temporal and geographical validation study. PLoS One 2013;8:e73125.PubMedCentralPubMedCrossRef
29.
go back to reference Smits FT, Wittkampf KA, Schene AH, Bindels PJ, Van Weert HC. Interventions on frequent attenders in primary care: A systematic literature review. Scand J Prim Health Care 2008;26:111-6.PubMedCentralPubMedCrossRef
Smits FT, Wittkampf KA, Schene AH, Bindels PJ, Van Weert HC. Interventions on frequent attenders in primary care: A systematic literature review. Scand J Prim Health Care 2008;26:111-6.PubMedCentralPubMedCrossRef
30.
go back to reference Haroun D, Smits FT, Schene A, Van Weert HC, Ter Riet G. Interventions on frequent attenders in primary care: a systematic review. Unpublished 2014.
Haroun D, Smits FT, Schene A, Van Weert HC, Ter Riet G. Interventions on frequent attenders in primary care: a systematic review. Unpublished 2014.
31.
go back to reference Wennberg JE. Practice variations: why all the fuss? Internist 1985;26:6-8.PubMed
Wennberg JE. Practice variations: why all the fuss? Internist 1985;26:6-8.PubMed
Metagegevens
- Titel
- Frequente bezoekers: hoe vaak, wie en waarom?
- Auteur
-
dr. Frans Smits
- Publicatiedatum
- 01-07-2015
- Uitgeverij
- Bohn Stafleu van Loghum
- DOI
- https://doi.org/10.1007/s12445-015-0193-3