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Article

Characteristics of Frequent Attenders Compared with Non-Frequent Attenders in Primary Care: Study of Remote Communities in Taiwan

1
Division of Family Medicine, National Yang-Ming University Hospital, Yilan 260, Taiwan
2
Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei 112, Taiwan
3
Division of Occupational Medicine, Taipei Veterans Hospital, Taipei 112, Taiwan
4
Department of Internal Medicine, National Yang-Ming University Hospital, Yilan 260, Taiwan
5
Department of Family Medicine, Taipei Veterans Hospital, Taipei 112, Taiwan
*
Author to whom correspondence should be addressed.
Healthcare 2020, 8(2), 96; https://doi.org/10.3390/healthcare8020096
Received: 28 February 2020 / Revised: 1 April 2020 / Accepted: 11 April 2020 / Published: 13 April 2020
(This article belongs to the Special Issue Family Medicine: Opportunities and Challenges for Primary Healthcare)
Frequent attenders (FAs) have an impact on the medical resources and the quality of care. In Taiwan, the characteristics of FAs remain unclear in primary care. Outpatient data were screened from a central clinic within six surrounding fishing villages in northeastern Taiwan in 2017. FAs were defined as those who made >18 visits in one year, and those who made ≤18 visits were defined as non-frequent attenders (NFAs). Data of FAs and NFAs were collected and compared. The major diagnoses were reported using International Classifications of Diseases, Tenth Edition (ICD-10) codes. A total of 1586 subjects and 9077 visits were enrolled, including 119 FAs and 1467 NFAs. FAs had a more advanced age compared to NFAs. Both FAs and NFAs had more visits in summer. FAs had consumed high prescriptions and related costs. FAs also had higher therapeutic and first visit costs than NFAs. Comparing with age- sex-matched NFAs, FAs were positively associated with musculoskeletal diseases (M00-M99), hematological diseases (D50-D89), endocrine diseases (E00-E90), and mental disorders (F00-F99). Large-scale local datasets and suitable definitions of FAs for Taiwanese subjects are needed. View Full-Text
Keywords: community medicine; family medicine; frequent attendance; ICD-10 code; primary care; Taiwan community medicine; family medicine; frequent attendance; ICD-10 code; primary care; Taiwan
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MDPI and ACS Style

Kang, S.-C.; Lin, C.-C.; Tsai, C.-C.; Lu, Y.-H.; Huang, C.-F.; Chen, Y.-C. Characteristics of Frequent Attenders Compared with Non-Frequent Attenders in Primary Care: Study of Remote Communities in Taiwan. Healthcare 2020, 8, 96. https://doi.org/10.3390/healthcare8020096

AMA Style

Kang S-C, Lin C-C, Tsai C-C, Lu Y-H, Huang C-F, Chen Y-C. Characteristics of Frequent Attenders Compared with Non-Frequent Attenders in Primary Care: Study of Remote Communities in Taiwan. Healthcare. 2020; 8(2):96. https://doi.org/10.3390/healthcare8020096

Chicago/Turabian Style

Kang, Shih-Chao, Chun-Chi Lin, Chia-Chen Tsai, Yin-Han Lu, Chun-Feng Huang, and Yu-Chun Chen. 2020. "Characteristics of Frequent Attenders Compared with Non-Frequent Attenders in Primary Care: Study of Remote Communities in Taiwan" Healthcare 8, no. 2: 96. https://doi.org/10.3390/healthcare8020096

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