Non-attendance at outpatient clinics at the regional hospital, Galway, Ireland

Cawley, Mary; Stevens, Fiona

doi:10.1016/0277-9536(87)90365-0

Cited by 16 publications

(16 citation statements)

References 14 publications

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“…The reason for including a variable for domicile in the logit equation is to test whether the accessibility problem associated with living in a rural area is likely to have a positive and significant effect on the likelihood of a mentally ill person ending up as an inpatient, rather than a day hospital patient. 13,14 The hypothesis that urban domicile is likely to lead to a decreased likelihood of inpatient care due to ease of access to the day hospital facility is confirmed in this study.…”

Section: Resultssupporting

confidence: 73%

Identifying factors affecting the placement of mentally ill patients

O’Shea

Hughes

O'Reilly

1999

J. Mental Health Policy Econ.

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Section: Resultssupporting

confidence: 73%

Identifying factors affecting the placement of mentally ill patients

O’Shea

Hughes

O'Reilly

1999

J. Mental Health Policy Econ.

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“…Being male is also commonly associated with DNA in published studies [8,16,18], though less consistently, with some reporting an association with being female [19,20,21] and some identifying no gender differences [22,23,24]. In our study, however, characteristics such as age and gender, and demographic differences, including regiment or rank were not found to be associated with DNA.…”

Section: Discussioncontrasting

confidence: 58%

Why Military Personnel Fail to Keep Medical Appointments

Thornton¹,

Ballard

2008

J R Army Med Corps

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The most common reasons for not attending appointments were due to administrative error and an inability amongst patients to recall the correct date of the appointment. Whilst efforts to improve attendance through various reminder systems have been found to be effective in the short term at least, improvements in the efficiency of appointment administration is likely to generate a reduction in DNA and in turn will reduce the wastage of resources.

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“…Non-attenders who responded to the questionnaire were more likely to be single (22% v 16% of attenders) and less likely to be retired (12% v,25%). (7) 11 (8) Clinical characteristics-The seriousness of the clinical condition was assessed on a scale of urgency or severity that was based on provisional referral diagnosis, by the degree to which the patient's activity was limited, by the level of pain, and by the duration of symptoms. There was no significant difference between non-attenders and attenders according to the scale of urgency or severity scale based on their provisional diagnoses (table II).…”

Section: Resultsmentioning

confidence: 99%

Non-attendance or non-invitation? A case-control study of failed outpatient appointments.

Frankel

Farrow

West

1989

BMJ

108

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Objective-To determine the causes of nonattendance at new outpatient appointments.Design-Case-control study of non-attenders and attenders.Setting-Outpatient department of a general hospital.Subjects-All non-attenders (n= 277) for first outpatient appointments in six specialties during a three month period were included. Controls (n= 135) were the attenders who followed every second nonattender; thus they attended the same consultant on the same day that the non-attenders were expected.Interventions -None. Measurements and main results-Information on the clinical problem, difficulties in attending the hospital, and reasons for non-attendance from the questionnaire were coded and classified. Nonattenders had received shorter notice of their appointment than attenders (14% v 1% had received three days' notice or less). There were small differences in the seriousness of patients' clinical condition.Conclusions-Client factors are less important than aspects of the service in explaining nonattendance at outpatient appointments. IntroductionOutpatient departments are at the critical interface between primary care and hospital practice. Here is perhaps the greatest opportunity to influence the use of resources in the pursuit of efficient health care. Nonattendance at outpatient departments may lead to inefficient use of facilities and result in unnecessary costs and delays in assessing patients. Given the concern expressed by managers, planners, and politicians over the consequences of non-attendance' it is surprising how few studies have been reported on this problem as it is experienced in the NHS. This contrasts with the number of studies reported from the United States. The difference in emphasis may reflect the differing economic consequences of nonattendance in the two countries rather than any difference in the scale of the problem.Studies have concentrated on the social and medical characteristics of non-attenders. Those of lower social class23 and from certain ethnic groups4' are less likely to attend, though not all studies have found such associations.67 The dominant assumption in reports as well as in the perceptions of those concerned with managing outpatient care is that non-attendance is primarily a problem of compliance. Such a view begs the question that this study addresses, for it is also possible that the problem is one of non-invitation by the hospital. Accordingly we attempted to answer the more general question "Why do appointments fail?" to avoid the assumptions underlying the usual question

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Non-attendance at outpatient clinics at the regional hospital, Galway, Ireland

Cited by 16 publications

References 14 publications

Identifying factors affecting the placement of mentally ill patients

Identifying factors affecting the placement of mentally ill patients

Why Military Personnel Fail to Keep Medical Appointments

Non-attendance or non-invitation? A case-control study of failed outpatient appointments.

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