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An analysis of fat folders
Summary
Patients with fat folders often have underlying organic diseases and frequently seek medical attention. They also exhibit doctor-shopping behaviors, marital issues, and high rates of psychotropic medication use.
Area of Science:
- General Practice
- Psychosomatic Medicine
Background:
- Frequent attenders in general practice represent a complex patient group.
- Understanding the underlying factors associated with frequent attendance is crucial for effective healthcare management.
Purpose of the Study:
- To investigate the characteristics and potential contributing factors of patients identified with 'fat folders' in a general practice setting.
- To identify commonalities among patients with extensive medical records.
Main Methods:
- Retrospective review of patient records.
- Analysis of demographic and clinical data for patients with 'fat folders'.
Main Results:
- A significant proportion of patients with 'fat folders' presented with evidence of organic disease.
- Frequent attendance, doctor-shopping, marital disharmony, and psychotropic medication use were common in this cohort.
- High rates of organic disease were noted among frequent attenders.
Conclusions:
- The 'fat folder' patient group often has undiagnosed organic pathology.
- Psychosocial factors, including marital discord and doctor-shopping, are prevalent.
- Further investigation into the management of these complex patients is warranted.