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Review
. 2002 Oct;29(7):334-42.
doi: 10.1055/s-2002-34658.

[Heavy users of psychiatric care]

[Article in German]
Affiliations
Review

[Heavy users of psychiatric care]

[Article in German]
Christiane Roick et al. Psychiatr Prax. 2002 Oct.

Abstract

Objective: This paper reviews findings and problems of heavy users research.

Methods: The German- and English language literature about "heavy users" and relevant border areas was analyzed.

Results: Heavy users are patients who consume a disproportionate share of medical services. The characteristics of heavy users are inhomogeneous. Social problems, denial of illness, non-compliance, comorbid personality disorders and substance misuse contribute significantly to heavy use. Future studies should define heavy use illness-related. More research is needed to clarify whether heavy use of special services is adequate to the patients situation.

Conclusions: Heavy users should be identified early, in order to offer them alternative services, which better fulfil the patients specific conditions and prevent an inadequate heavy use of expensive services.

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