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[Who is the infrequent patient?]

J A Granados Garrido1, F J San Andrés Rebollo, P Costa Zamora

  • 1Unidad Docente de Medicina Familiar y Comunitaria, Centro de Salud de Parla, Madrid.

Atencion Primaria
|October 31, 1993
PubMed
Summary

Reaching rarely attending patients proved difficult, with few successfully studied. The typical rarely attending individual was a 37-year-old, employed, non-drinking male who perceived his health positively.

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Area of Science:

  • Primary Care Research
  • Public Health
  • Health Services Research

Background:

  • Identifying and characterizing individuals who rarely access healthcare services is crucial for understanding population health needs.
  • Previous studies have often focused on general patient populations, potentially overlooking specific subgroups with unique health-seeking behaviors.

Purpose of the Study:

  • To identify and define the sociodemographic characteristics of rarely attending individuals.
  • To analyze the health status and healthcare utilization patterns of this specific population subgroup.
  • To assess the feasibility of reaching and engaging rarely attending individuals in primary care settings.

Main Methods:

  • An observational, crossover study design was employed.
  • A questionnaire was administered to patients over 19 years old who had not attended healthcare services for four years.

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  • Communication strategies included letters and phone calls to locate and engage participants.
  • Main Results:

    • Only 5.07% of the catchment population met the inclusion criteria for rarely attending patients.
    • A significant proportion of eligible individuals could not be located or interviewed.
    • The final study group (14 participants) was predominantly young, male, and self-reported good health, with high rates of smoking.

    Conclusions:

    • Locating and engaging rarely attending individuals presents significant methodological challenges.
    • The small sample size limits the generalizability of findings regarding the characteristics of this population.
    • The study identified a profile of a rarely attending individual as a young, employed, non-drinking male who perceives his health as good.