Abstract
Thus far, no study has systematically synthesized longitudinal studies investigating the determinants of frequent attendance in primary care. Consequently, the purpose of our systematic review is to give an overview of evidence based on longitudinal observational studies analyzing the determinants of frequent attendance. Three electronic databases (Medline, PsycINFO, CINAHL) will be searched. Moreover, the reference lists of studies included in our systematic review will be searched manually. Longitudinal observational studies examining the determinants of frequent attendance in primary care will be included. Disease-specific samples will be excluded. Data extraction focuses on methods (e.g., measurement of frequent attendance, statistical analysis), characteristics of the sample and key results. Furthermore, the quality of the studies included will be examined using an appropriate tool. Two reviewers will perform study selection, data extraction, and quality assessment. A meta-analysis will be conducted (if possible).
Highlights
Primary care can be defined as the “element within primary health care that focuses on health care services, including health promotion, illness and injury prevention, and the diagnosis and treatment of illness and injury” [1]
A previous systematic review [7], which focused on the determinants of frequent attendance in primary care among older adults in European studies, concluded that particular need factors such as self-rated health or chronic conditions were strongly associated with frequent attendance
We expect that particular need factors such as worse self-rated health or chronic conditions contribute to the onset of frequent attendance longitudinally
Summary
Primary care can be defined as the “element within primary health care that focuses on health care services, including health promotion, illness and injury prevention, and the diagnosis and treatment of illness and injury” [1]. Several cross-sectional studies have identified the correlates of frequent attendance in primary care [4,5,6]. These cross-sectional studies showed, among other things, that the likelihood of frequent attendance increased with more chronic conditions and worse functioning [4,6] as well as psychological factors (such as low satisfaction with life) [5]. A previous systematic review [7], which focused on the determinants of frequent attendance in primary care among older adults in European studies, concluded that particular need factors such as self-rated health or chronic conditions were strongly associated with frequent attendance
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