Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling

Abstract Background This study aimed to investigate the characteristics of frequent attenders (FAs) among older patients in Shanghai, China, and explore the associated factors. Methods This cross-sectional study was conducted in six community health service centers in Shanghai, China, from August to...

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Autores principales:	Nana Li, Juan Shou
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Community health service center Frequent attender Frequent attendance China Older patient Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/3ee548fe87fe4b45b86db495a00f2f03
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spelling	oai:doaj.org-article:3ee548fe87fe4b45b86db495a00f2f032021-11-14T12:32:24ZRisk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling10.1186/s12875-021-01575-w1471-2296https://doaj.org/article/3ee548fe87fe4b45b86db495a00f2f032021-11-01T00:00:00Zhttps://doi.org/10.1186/s12875-021-01575-whttps://doaj.org/toc/1471-2296Abstract Background This study aimed to investigate the characteristics of frequent attenders (FAs) among older patients in Shanghai, China, and explore the associated factors. Methods This cross-sectional study was conducted in six community health service centers in Shanghai, China, from August to December 2018 based on stratified sampling. On the basis of our preliminary study, FAs were defined as those attending at least four consultations in a month. A self-administered questionnaire was used to collect the clinicodemographic data of the participants. Social support, pain severity, depression, and anxiety were evaluated using the Social Support Revalued Scale, six-point Behavioral Rating Scale, Patient Health Questionnaire–9, and Generalized Anxiety Disorder Scale, respectively. Results This study included 619 patients aged > 60 years. Among these patients, 155 (25%) were FAs to a community health service center, 366 (59.1%) had 1 or 2 chronic diseases, 179 (28.9%) had ≥3 chronic diseases, 313 (50.4%) opted for a family doctor service, and 537 (86.8%) chose a community health service center for the first consultation. The following were identified as independent risk factors for frequent attendance: widowed status, unmarried status, the presence of > 3 chronic diseases, first consultation at a community health service center, high medical expenses, frequent attendance of the spouses, long-term medication, the use of both traditional Chinese and Western medicine services, and depression. Conclusions This study summarizes the characteristics of older FAs to community health service centers in China and identifies 10 risk factors significantly associated with frequent attendance.Nana LiJuan ShouBMCarticleCommunity health service centerFrequent attenderFrequent attendanceChinaOlder patientMedicine (General)R5-920ENBMC Family Practice, Vol 22, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Community health service center Frequent attender Frequent attendance China Older patient Medicine (General) R5-920
spellingShingle	Community health service center Frequent attender Frequent attendance China Older patient Medicine (General) R5-920 Nana Li Juan Shou Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling
description	Abstract Background This study aimed to investigate the characteristics of frequent attenders (FAs) among older patients in Shanghai, China, and explore the associated factors. Methods This cross-sectional study was conducted in six community health service centers in Shanghai, China, from August to December 2018 based on stratified sampling. On the basis of our preliminary study, FAs were defined as those attending at least four consultations in a month. A self-administered questionnaire was used to collect the clinicodemographic data of the participants. Social support, pain severity, depression, and anxiety were evaluated using the Social Support Revalued Scale, six-point Behavioral Rating Scale, Patient Health Questionnaire–9, and Generalized Anxiety Disorder Scale, respectively. Results This study included 619 patients aged > 60 years. Among these patients, 155 (25%) were FAs to a community health service center, 366 (59.1%) had 1 or 2 chronic diseases, 179 (28.9%) had ≥3 chronic diseases, 313 (50.4%) opted for a family doctor service, and 537 (86.8%) chose a community health service center for the first consultation. The following were identified as independent risk factors for frequent attendance: widowed status, unmarried status, the presence of > 3 chronic diseases, first consultation at a community health service center, high medical expenses, frequent attendance of the spouses, long-term medication, the use of both traditional Chinese and Western medicine services, and depression. Conclusions This study summarizes the characteristics of older FAs to community health service centers in China and identifies 10 risk factors significantly associated with frequent attendance.
format	article
author	Nana Li Juan Shou
author_facet	Nana Li Juan Shou
author_sort	Nana Li
title	Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling
title_short	Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling
title_full	Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling
title_fullStr	Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling
title_full_unstemmed	Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling
title_sort	risk factors for the frequent attendance of older patients at community health service centers in china: a cross-sectional study based on stratified sampling
publisher	BMC
publishDate	2021
url	https://doaj.org/article/3ee548fe87fe4b45b86db495a00f2f03
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Risk factors for the frequent attendance of older patients at community health service centers in China: a cross-sectional study based on stratified sampling

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