Exploring factors influencing non‐attendance at the diabetes clinic and service improvement strategies from patients' perspectives

Akhter, Kalsoom; Dockray, Samantha; Simmons, David

doi:10.1002/pdi.1670

Cited by 19 publications

(25 citation statements)

References 22 publications

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“…This study suggests that forgetting was a major reason for DNA and this is supported many of the studies discussed (Neal et al, 2005;Akhter et al, 2012;Killaspy et al, 2000). Other reasons for drop-out included being too physically or psychiatrically unwell, again this is well supported by the literature (Akhter et al, 2012;Killaspy et al, 2000;Lever Taylor et al, 2013). Finally, work commitments were also found to be reasons for non-attendance in studies by Hillis and Alexander, (1990) and DeFife et al (2010).…”

Section: Reasons For Non-attendancesupporting

confidence: 72%

“…In general healthcare settings young men (15-44 years old) are most likely to miss appointments (ICHSC, 2006); with young men almost twice as likely to DNA compared to women of the same age (ICHSC, 2013). A history of non-attendance (Neal, Hussain-Gambles, Allgar, Lawlor and Dempsey, 2005) and poorer levels of health (Akhter, Dockray and Simmons, 2012) Improvement, 2008). In secondary care mental health settings being younger, having a history of selfharm, higher levels of social deprivation (Hillis, Alexander and Eagles, 1993), higher levels of mental disorder (Killaspy, Banerjee, King and Lloyd, 2000) and the method of invitation to the appointment (Hillis and Alexander., 1990) are all influential in determining non-attendance.…”

Section: Non-attendance and Drop-outmentioning

confidence: 99%

“…Forgetting is given as the most frequent reason (Neal et al, 2005;Akhter et al, 2012;Killaspy et al, 2000), apathy (Murdock, Rodgers, Lindsay and Tham, 2002), illness (Akhter et al, 2012;Killaspy et al, 2000;Lever Taylor, Shenoy and Holmes, 2013), work commitments (Hillis and Alexander, 1990) and clerical errors (Killaspy et al, 2000) are also reported.…”

Section: Non-attendance and Drop-outmentioning

confidence: 99%

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Non-attendance at psychological therapy appointments

Binnie

Boden

2016

MHRJ

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Purpose Research demonstrates that non-attendance at healthcare appointments is a waste of scarce resources; leading to reduced productivity, increased costs, disadvantaged patients through increased waiting times and demoralised staff. The purpose of this paper is to investigate non-attendance and implemented interventions to improve practice. Design/methodology/approach A mixed methods service audit took place in a primary care psychological therapies service. Existing service guidelines and reporting systems were reviewed. A cross-sectional design was used to compare a year’s cohort of completers of cognitive behavioural therapy (CBT) (n=140) and drop-outs (n=61). Findings Findings suggested contrasting guidelines and clinically inaccurate reporting systems. The overall service did not attend (DNA) rate was 8.9 per cent; well below rates suggested in the literature. The drop-out rate from CBT was 17 per cent. The most influential factor associated with CBT drop-out was the level of depression. The level of anxiety, risk ratings and deprivation scores were also different between completers and drop-outs. The main reasons given for non-attendance were forgetting, being too unwell to attend, having other priorities, or dissatisfaction with the service; again these findings were consistent with prior research. Originality/value A range of recommendations for practice are made, many of which were implemented with an associated reduction in the DNA rate.

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Section: Reasons For Non-attendancesupporting

confidence: 72%

Section: Non-attendance and Drop-outmentioning

confidence: 99%

Section: Non-attendance and Drop-outmentioning

confidence: 99%

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Non-attendance at psychological therapy appointments

Binnie

Boden

2016

MHRJ

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“…PASA is a waste of scarce resources, considering the already considerable wait times for chronic pain consultations [7]. Without the benefit of a cancellation call, PASA deprives other patients of the opportunity to schedule an appointment[8]. On the other hand, PASA may indicate barriers to healthcare[9], depriving our most vulnerable patients of needed specialized pain services[1,10,11].…”

Section: Introductionmentioning

confidence: 99%

A pragmatic trial to improve adherence with scheduled appointments in an inner-city pain clinic by human phone calls in the patient's preferred language

Andreae

Nair

Gabry

et al. 2017

Journal of Clinical Anesthesia

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Study Objective We investigated if human reminder phone calls in the patient’s preferred language increase adherence with scheduled appointments in an inner-city chronic pain clinic. We hypothesized that language and cultural incongruence is the underlying mechanism to explain poor attendance at clinic appointments in underserved Hispanic populations. Design Pragmatic randomized controlled clinical trial Setting Innercity academic chronic pain clinic with a diverse, predominantly African-American and Hispanic population Patients All (n=963) adult patients with a scheduled first appointment between October 2014 and October 2015 at the Montefiore Pain Center in the Bronx, New York were enrolled. Interventions Patients were randomized to receive a human reminder call in their preferred language before their appointment, or no contact. Measurements We recorded patients’ demographic characteristics and as primary outcome attendance as scheduled, failure to attend and/or cancellation calls. We fit Bayesian and classical multinomial logistic regression models to test if the intervention improved adherence with scheduled appointments. Main Results Among the 953 predominantly African American and Hispanic/Latino patients, 475 patients were randomly selected to receive a language-congruent, human reminder call, while 478 were assigned to receive no prior contact, (after we excluded 10 patients, scheduled for repeat appointments). In the experimental group, 275 patients adhered to their scheduled appointment, while 84 cancelled and 116 failed to attend. In the control group, 249 patients adhered to their scheduled appointment, 31 cancelled and 198 failed to attend. Human phone reminders in the preferred language increased adherence (RR 1.89, CI95% [1.42, 1.42], (p<0.01). The intervention seemed particularly effective in Hispanic patients, supporting our hypothesis of cultural congruence as possible underlying mechanism. Conclusions Human reminder phone calls prior in the patient’s preferred language increased adherence with scheduled appointments. The intervention facilitated access to much needed care in an ethnically diverse, resource poor population, presumably by overcoming language barriers.

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“…Studies carried out by Akhter et al [16] and Barclay [17] focused on text message reminders system that encourage patients to take their medication regularly. The studies reported that mobile reminders were most helpful to reduce the number of missed medications, compared to the manual reminder systems.…”

Section: Sms Text Messagesmentioning

confidence: 99%

Mobile Graphic-Based Communication: Investigating Reminder Notifications to Support Tuberculosis Treatment in Africa

Haji

Suleman

Rivett

2014

Lecture Notes in Computer Science

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Abstract. Visual communication is a method of communication using visual elements, which is suggested to be more effective than text or voice, and has the additional advantage that it, can also be used by who are unable to read. In this paper, the findings of a user requirements study, which was conducted at MnaziMmoja Hospital in Zanzibar, are presented. In a cross-sectional study, twenty nine people including TB patients and TB Health care workers were interviewed. The findings show that participants agreed that the use of mobile graphic-based communications could support TB patients in their treatment. The contribution of this work is the process to investigate and develop a new mobile graphic-based application for push notification services that are literacylevel and language agnostic.

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Exploring factors influencing non‐attendance at the diabetes clinic and service improvement strategies from patients' perspectives

Cited by 19 publications

References 22 publications

Non-attendance at psychological therapy appointments

Non-attendance at psychological therapy appointments

A pragmatic trial to improve adherence with scheduled appointments in an inner-city pain clinic by human phone calls in the patient's preferred language

Mobile Graphic-Based Communication: Investigating Reminder Notifications to Support Tuberculosis Treatment in Africa

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