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dc.contributor.authorDiaz, Esperanzaeng
dc.contributor.authorGimeno-Feliu, Luis A.eng
dc.contributor.authorCalderón-Larrañaga, Amaiaeng
dc.contributor.authorPrados-Torres, Alexandraeng
dc.description.abstractObjective. To compare the likelihood of being a frequent attender (FA) to general practice among native Norwegians and immigrants, and to study socioeconomic and morbidity factors associated with being a FA for natives and immigrants. Design, setting and subjects. Linked register data for all inhabitants in Norway with at least one visit to the general practitioner (GP) in 2008 (2 967 933 persons). Immigrants were grouped according to their country of origin into low- (LIC), middle- (MIC), and high-income countries (HIC). FAs were defined as patients whose attendance rate ranked in the top 10% (cut-off point > 7 visits). Main outcome measures. FAs were compared with other GP users by means of multivariate binary logistic analyses adjusting for socioeconomic and morbidity factors. Results. Among GP users during the daytime, immigrants had a higher likelihood of being a FA compared with natives (OR (95% CI): 1.13 (1.09–1.17) and 1.15 (1.12–1.18) for HIC, 1.84 (1.78–1.89) and 1.66 (1.63–1.70) for MIC, and 1.77 (1.67–1.89) and 1.65 (1.57–1.74) for LIC for men and women respectively). Pregnancy, middle income earned in Norway, and having cardiologic and psychiatric problems were the main factors associated with being a FA. Among immigrants, labour immigrants and the elderly used GPs less often, while refugees were overrepresented among FAs. Psychiatric, gastroenterological, endocrine, and non-specific drug morbidity were relatively more prevalent among immigrant FA compared with natives. Conclusion. Although immigrants account for a small percentage of all FAs, GPs and policy-makers should be aware of differences in socioeconomic and morbidity profiles to provide equality of health care.eng
dc.publisherTaylor & Franciseng
dc.rightsAttribution CC BYeng
dc.subjectEmigrants and immigrantseng
dc.subjectgeneral practiceeng
dc.subjecthealth care researcheng
dc.subjectprimary health careeng
dc.subjectsocioeconomic factorseng
dc.titleFrequent attenders in general practice and immigrant status in Norway: a nationwide cross-sectional studyeng
dc.typeJournal articleeng
dc.subject.nsiVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Allmennmedisin: 751
dc.subject.nsiVDP::Midical sciences: 700::Clinical medical sciences: 750::General practice: 751
dc.rights.holderCopyright 2014 The Authorseng
bora.peerreviewedPeer reviewedeng
bora.journalTitleScandinavian Journal of Primary Health Careeng
dc.type.documentJournal article

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