Frequent attenders in general practice: quality of life, patient satisfaction, use of medical services and GP characteristics

Objective-To determine the predictors of frequent attendance in general pra ctice. Design-A postal survey using a questionnaire including instruments for meas uring patient satisfaction (EUROPEP), quality of life (EUROQOL), anxiety an d depression (DUKE-AD). Setting-Primary health care in Slovenia. Patients-A representative sample of 2160 adult patients. Main outcome measures-Number of contacts with the health care services, lev els of self-care, patient satisfaction scores, quality of life scores, well -being scores, presence of chronic condition. Results-Frequent attenders were more likely to have lower educational statu s, were more satisfied with their GP, had higher scores of anxiety and depr ession, and lower perceived quality of life. They were more likely to have a chronic disease. Frequent attenders were less likely to try self-care and more likely to use health services. They were more likely to visit more ex perienced GPs, GPs working a greater distance from other GPs and GPs who di d not use the appointment system. The multivariable modelling explained 19. 7% of the variation; 16.9%, was attributed to patient characteristics and 3 .1% to GP characteristics. Conclusions-The study confirmed that lower education levels, chronicity and higher use of other health services are predictors of higher attendance.