Walk-in Clinic Drop-Outs

Ray, Rajat; Beig, M.A.; Gopinath, P. S.

doi:10.1177/002076408202800303

Cited by 9 publications

(11 citation statements)

References 10 publications

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“…Data from India suggest that 21%–59% of adult patients with various mental disorders dropout of treatment. [ 10 15 16 17 ] One of the factors which explain the variance in the dropout rates across different studies is the definition used to define “dropouts.” Most of the studies from India and other parts of the world suggest that maximum dropout rates are seen after the initial visit and the rates which have reported for initial dropout in studies from India have varied from 50% to 59%. [ 16 17 18 ] Many studies have evaluated the factors associated with dropout and suggest that dropout rates are higher for male patients, patients who have to travel for long distance, and those belonging to the rural background and illiterate.…”

Section: Introductionmentioning

confidence: 99%

Dropout rates and factors associated with dropout from treatment among elderly patients attending the outpatient services of a tertiary care hospital

Grover

Dua

Chakrabarti

2018

Indian J Psychiatry

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Aim:This study aimed to evaluate the “dropout” rates from treatment and associated factors among elderly patients attending a tertiary care psychiatry outpatient facility.Materials and Methods:Data of 1422 patients aged ≥60 years, attending the walk-in clinic were evaluated.Results:Out of 1422 patients, 406 (28.55%) belonged to the “dropout” group. In the “dropout” group, the age of patients was significantly higher than the followed-up group, and a higher proportion of patients were >70 years old. Significantly lower proportion of patients with diagnosis of depressive disorders belonged to the “dropout” group and significantly higher proportion of patients with “other” diagnoses belonged to the dropped out group. In patients with depressive disorders, a higher proportion of the patients in the “dropout” group were Hindu by religion (68.7% vs. 58.7%; χ2 = 4.26; P = 0.03). In patients with bipolar disorder, patients in the “dropout” group had significantly higher income (Rs. 13,323 [standard deviation [SD] = 16,769] vs. 5681 [SD = 9422]; t-test value: 2–25; P = 0.028) and lesser proportion of patients were of the male gender (63.15 vs. 86.95%; Mann–Whitney U value = 257.5; P = 0.039). In the group of other diagnoses, a higher proportion of patients in the “dropout” group were currently single (32.3% vs. 18.7%; χ2 = 4.12; P = 0.042), from rural locality (63.1% vs. 46.72%; χ2 = 4.33; P = 0.037) and were not prescribed medications (40% vs. 22.4%; χ2 = 6.05; P = 0.04).Conclusion:Dropout from treatment among elderly patients is associated with higher age, not being prescribed medications, and diagnosis other than the affective disorders, psychotic disorders, and the cognitive disorders.

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Section: Introductionmentioning

confidence: 99%

Dropout rates and factors associated with dropout from treatment among elderly patients attending the outpatient services of a tertiary care hospital

Grover

Dua

Chakrabarti

2018

Indian J Psychiatry

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“…Clients whose initial contact with mental health services was through a walk‐in clinic were more likely to drop out of services if they were placed on a long waiting list to receive services (Ray, Beig, & Gopinath, 1982). Patients enrolled in group psychotherapy were more likely to drop out if the therapist was less experienced and was less likely to explore patients' fears prior to the sessions (Murphy & Cannon, 1986).…”

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confidence: 99%

Dropping Out of Maternal and Child Home Visits

Josten

Savik

Anderson

et al. 2002

Public Health Nursing

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The purpose of this study was to examine the relationship between nurse and client characteristics and the reason for client termination from public health nursing maternal and child home visits. The results indicate that clients who dropped out of services received more contacts from the nurses, missed more appointments with the nurses, and were given advice from the nurses on more topics. They also differed from clients who continued with services until the nursing care plan goals were met in reference to marital status, mental illness, source of payment for services, and use of WIC and food stamps. Nurses whose clients were more likely to continue until goals were met were higher in conscientiousness, learned more from experience, and learned less from coworkers or learning on their own. They also worked more hours per week. These findings have implications for practice and research.

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“…The findings of our previous communication (20) had been that a diagnosis of depressive neurosis and a long waiting list for the subsequent consultation were significantly associated with the dropping out.…”

Section: Background Variablesmentioning

confidence: 84%

“…In the earlier paper (20), we reported the Socio-demographic and clinical variables associated with drop-out. The objective of this paper is to explore the patient's perception and evaluation of the &dquo;customer approach&dquo; and its relation to the dropping out phenomenon.…”

Section: Drop-outsmentioning

confidence: 99%

Customer Approach and Walk-in Clinic Drop-Out Phenomenon

Gopinath

Beig

Ray

1983

Int J Soc Psychiatry

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Information was collected from 158 consecutive new patients attending a Walk-in Clinic. Patients were called for a subsequent visit for a detailed interview. Thirty-nine percent did not report for the second interview. Suitability of &dquo;Customer approach&dquo; for both completers and drop-outs was examined. &dquo;Customer approach&dquo; correlated significantly with the &dquo;outcome measures&dquo; even when the patient became a drop-out. A greater number of completers felt that their problems had been understood and they had been helped during their first visit. Positive responses among the completers, under the category of &dquo;outcome measures&dquo;, were significantly different from those of the

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Walk-in Clinic Drop-Outs

Cited by 9 publications

References 10 publications

Dropout rates and factors associated with dropout from treatment among elderly patients attending the outpatient services of a tertiary care hospital

Dropout rates and factors associated with dropout from treatment among elderly patients attending the outpatient services of a tertiary care hospital

Dropping Out of Maternal and Child Home Visits

Customer Approach and Walk-in Clinic Drop-Out Phenomenon

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