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Patients were stratified by frequency of ED use: one visit (single users), two to four visits (infrequent users), and five or more visits (frequent users) in a 1-year period.
For example, the Agency for Healthcare Research and Quality defines superutilization as ≥ 4 inpatient stays per year which is nearly two times higher than the mean number of inpatient stays accumulated by the extremely frequent users in our study [26].
Case management strategies could be developed to address the vulnerability factors of frequent users in order to prevent inequities in health care and related costs [ 17].
In the absence of a consensus definition of frequent users in the literature, the one retained at a regional scale will be used (six visits or more to the emergency room in the past year or 3 hospitalisations or more).
Estimates of the number of frequent users in late September and October range from approximately 20 50% in observational data (Lippy 2002) to 50% (Banauch et al. 2006; Feldman et al. 2004) and 65% (Prezant et al. 2002) in self-reported data.
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Other studies have identified clusters among frequent users of in-patient services [ 11, 12], psychiatric in-patients hospitalized for the first time [ 6], homeless with mental and general medical disorders [ 13], and PSMD using resources for homeless persons [ 7].
Studies have identified frequent users of in-patient services [ 35, 36], patients with schizophrenia treated in the community [ 37], patients with serious mental illness according to their level of functioning [ 38], patients with dual diagnoses of serious mental disorders and substance use [ 39] first-ever admitted psychiatric in-patients [ 40].
This suggests that children with reflux are frequent users of in patient hospital services.
Women are also frequent users of CAM in many countries [ 20– 20].
We wanted to include all ages within the population because children are frequent users of services in this system[ 4].
We selected 16 users among the users of the previous portal, ranging from beginners to frequent users, to participate in test sessions.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com