SciELO - Scientific Electronic Library Online

vol.33 issue1Outlier patient admissions and their relationship with the emergence of clinical complications and prolonged hospital staysFacilitators of participation and implementation of the immigrant families' PELFI Sub-Cohort author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Gaceta Sanitaria

Print version ISSN 0213-9111


MENENDEZ GRANADOS, Nicolás et al. Frequent attendance in a Primary Health Care District. Gac Sanit [online]. 2019, vol.33, n.1, pp.38-44.  Epub Oct 21, 2019. ISSN 0213-9111.


To describe the distribution of frequent attenders (FA) through the different primary care practices in Cordoba-Guadalquivir Health District (Córdoba, Spain).


An ecological study was performed, including data from 2011 to 2015. Defining FA as those subjects who made12 or more appointments per year; independently analysed for nursing, general practice and paediatrics. Prevalence of frequent attendance and FA/professional ratio were used as dependent variables. Demographic characteristics from district population, number of health professionals and use of general facilities were also examinated. Aiming to understand FA distribution, primary health settings were classified according to facility size and environmental location (urban, suburban and rural).


The mean prevalence for FA was 10.86% (0.5 SE) for nursing; general practice 21.70% (0.7 SE) and for paediatrics 16.96% (0.7 SE). FA/professional ratios for the different professional categories were: 101.07 (5.0 SE) for nursing, 239.74 (9.0 SE) for general practice and 159.54 (9.8 SE) for paediatrics.


A major part of primary health care users make a high number of consultations. From this group, women overuse nursing and general practitioner services more compared to men. A higher prevalence of FAs was observed in smaller settings, in rural areas. Although taking the FAs: professional ratio as the bar, medium-size practices are more highly overused.

Keywords : Medical overuse; Primary health care; Residence characteristics; Health facility size; Observational study.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )