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Consultation frequency and general practitioners' and practices' characteristics.

Laura Baudier1, Nicolas Senn2, Pascal Wild3

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Summary
This summary is machine-generated.

Frequent patient consultations burden general practitioners (GPs). Patient health issues like distress and chronic diseases increase visits, while practice factors like longer GP hours also play a role.

Keywords:
Consultation frequencyGeneral practitionerPatients characteristicsPractice characteristics

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Area of Science:

  • Primary Health Care Research
  • General Practice Management
  • Health Services Research

Background:

  • High patient consultation frequency poses a significant workload challenge for general practitioners (GPs).
  • While patient-related factors are known to influence consultation frequency, GP and practice characteristics also play a role.
  • Understanding these multifactorial influences is crucial for optimizing healthcare delivery.

Purpose of the Study:

  • To investigate the associations between patient characteristics, general practitioner (GP) factors, and practice organizational characteristics with patient consultation frequency.
  • To identify key predictors of frequent consultations in primary care settings.

Main Methods:

  • Utilized data from the Swiss Primary Health Care Active Monitoring, Prevention in primary care (SPAM Prev) national survey (2015-16).
  • Included 167 GPs and 1105 patients, with data collected via online and fieldworker-administered questionnaires.
  • Employed multilevel Poisson regression models to analyze factors predicting consultation frequency.

Main Results:

  • Patient factors like psychological distress, chronic diseases, and medication use were positively associated with higher consultation frequency.
  • Negative associations with consultation frequency were observed for females, less compliant patients, high self-perceived health, and physical exercise.
  • General practitioner (GP) factors, such as working longer hours, were positively associated with consultation frequency, while shared medical records showed a negative association.

Conclusions:

  • Both patient and general practitioner (GP) practice characteristics significantly predict patient consultation frequency.
  • Further qualitative research is needed to elucidate the mechanisms underlying these associations.
  • Findings can inform intervention strategies to optimize primary care resource allocation and reduce healthcare costs.