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dc.contributor.authorJacob, Rebecca
dc.contributor.authorWong, Mai Luen
dc.contributor.authorHayhurst, Catherine
dc.contributor.authorWatson, Peter
dc.contributor.authorMorrison, Cecily
dc.date.accessioned2020-10-12T23:30:35Z
dc.date.available2020-10-12T23:30:35Z
dc.date.issued2016-08
dc.identifier.issn1470-2118
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/311377
dc.description.abstractFrequent attendance to the emergency department (ED) is a growing public health concern. Designing services for frequent attenders poses challenges, given the heterogeneous nature of this group. This was a two-part observational study identifying frequent attenders from ED records. The first stage studied trends and developed personas with emphasis on differentiating moderate frequent attenders (attending between 5 and 20 times per year) and extreme frequent attenders (attending more than 20 times). Stage 2 included a case note review of 100 consecutive frequent attenders. Results showed an increase in frequent attendance from 2.59% to 4.12% over 8 years. Moderate frequent attenders accounted for 97%. Of the 100 frequent attenders studied, 45% had medically unexplained symptoms (MUS), associated with younger age (p<0.001) but not with gender (p>0.05). In conclusion, the ED is a useful hub for identifying frequent attenders with MUS, particularly among moderate frequent attenders; service design for this group should consider a 'whole-systems approach' with integration between primary and secondary care, including specialist liaison psychiatry services where appropriate.
dc.format.mediumPrint
dc.languageeng
dc.publisherRoyal College of Physicians
dc.rightsAll rights reserved
dc.subjectHumans
dc.subjectRetrospective Studies
dc.subjectMental Health
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectMiddle Aged
dc.subjectPatients
dc.subjectEmergency Service, Hospital
dc.subjectFemale
dc.subjectMale
dc.subjectYoung Adult
dc.subjectUnited Kingdom
dc.titleDesigning services for frequent attenders to the emergency department: a characterisation of this population to inform service design.
dc.typeArticle
prism.endingPage329
prism.issueIdentifier4
prism.publicationDate2016
prism.publicationNameClin Med (Lond)
prism.startingPage325
prism.volume16
dc.identifier.doi10.17863/CAM.58467
dcterms.dateAccepted2016-02-09
rioxxterms.versionofrecord10.7861/clinmedicine.16-4-325
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2016-08
dc.contributor.orcidWatson, Peter [0000-0002-9436-0693]
dc.identifier.eissn1473-4893
rioxxterms.typeJournal Article/Review
cam.issuedOnline2016-08-01
rioxxterms.freetoread.startdate2017-08-31


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