What women want: convenient appointment times for cervical screening tests

Olowokure, Babatunde; Caswell, M.; Duggal, Harsh

doi:10.1111/j.1365-2354.2006.00703.x

Cited by 16 publications

(21 citation statements)

References 5 publications

(9 reference statements)

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“…For example, some patients may be willing to see any available doctor to minimize their wait for an appointment, whereas some other patients may prefer to wait until a slot becomes available with their PCPs (thereby preserving continuity). Some patients are able to visit the clinic only within a short time window because of job-related constraints or personal schedules, whereas others can be quite flexible (Jennings et al 2005;Olowokure et al 2006). Time and physician preferences may change over time because of changes in work schedule, marital status, and family size.…”

Section: The Appointment Booking Problemmentioning

confidence: 97%

“…Instead, they typically wish to book an appointment with a doctor of choice at a convenient time of day that fits their schedules (Jennings et al 2005;Olowokure et al 2006). Patients' preferences may also depend on urgency of their medical needs and the schedule of appointments they hold with other clinics/providers because patients generally want to minimize number of trips to the clinic/health system.…”

Section: Patient Preferencesmentioning

confidence: 98%

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Patient Appointments in Ambulatory Care

Gupta

Wang

2011

International Series in Operations Research &Amp; Management Science

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Outpatient appointment system design is a complex problem because it involves multiple stakeholders, sequential booking process, random arrivals, no-shows, varying degrees of urgency of different patients' needs, service time variability, and patient and provider preferences. Clinics use a two-step process to manage appointments. In the first step, which we refer to as the clinic profile setup problem, service providers' daily clinic time is divided into appointment slots. In the second step, which we refer to as the appointment booking problem, physicians' offices decide which available slots to book for each incoming request for an appointment. In this chapter, we present formulations of mathematical models of key problems in the area of appointment system design. We also discuss the challenges and complexities of solving such problems. In addition, summaries of prior research, particularly advanced models related to the examples shown in this chapter are also presented.

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Section: The Appointment Booking Problemmentioning

confidence: 97%

Section: Patient Preferencesmentioning

confidence: 98%

Patient Appointments in Ambulatory Care

Gupta

Wang

2011

International Series in Operations Research &Amp; Management Science

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“…9,[13][14][15] In addition, the health professionals suggested that population mobility, particularly in young women, might be a problem, and some thought that structural factors such as GP incentivisation and the change in the age of first screening might contribute to declining participation in this group; barriers that women themselves would not necessarily be aware of. For some women, the decision not to attend screening was informed; they perceived that the costs outweighed the benefits or they were not sexually active.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors have suggested a cohort effect, hypothesising that nonattendance reflects broader social disillusionment. 5,6 Others have suggested that young women experience more barriers to attendance, such as embarrassment, 7 lower perceived risk, 8 difficulties with appointment times, 9 or not being registered with a GP.…”

Section: Introductionmentioning

confidence: 99%

Exploring age differences in reasons for nonattendance for cervical screening: a qualitative study

Waller

Jackowska²,

Marlow

et al. 2011

BJOG

100

101

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Objectives To explore differences in barriers to attendance at cervical screening across age groups because coverage of the cervical screening programme in England has been falling, particularly among women in the youngest age group (25-29 years).Design A qualitative study.Setting A university in London.Sample Professionals working in the screening field (n = 12) and women of varying ages who had either never attended for cervical screening or did not attend regularly (n = 46). MethodsIn Study 1 we interviewed professionals to elicit their views on the reasons for lower screening attendance in young women. In Study 2, we carried out four focus groups (n = 27) and 19 individual interviews with under-screened women to explore their barriers to attendance. Verbatim transcripts were analysed using Framework Analysis.Results Reasons for nonattendance were many and varied. Health professionals identified population-level factors, service provision issues, time pressures, risk perceptions, lack of knowledge and psychological barriers. The nonattenders fell into two groups: those who had made an active decision not to take part (who tended to be older), and those who intended to be screened but did not attend (predominantly younger women). Practical barriers were raised more often by younger women whereas older women had more negative attitudes to screening.Conclusion This study provides rich data on the complex reasons why women do not attend for cervical screening. It points to age differences in barriers to screening, and suggests that addressing practical issues such as appointment systems and clinic times may have a positive impact on attendance in young women.

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“…Barriers to cervical screening include demographic, socioeconomic, psychological and cultural factors 9–18. Inaccuracies of patients' addresses and of medical records19–21 as well as inconvenient appointment times21–23 could also reduce participation.…”

Section: Introductionmentioning

confidence: 99%

Cervical screening among migrant women: a qualitative study of Polish, Slovak and Romanian women in London, UK

Jackowska

Wagner

Wardle

et al. 2012

J Fam Plann Reprod Health Care

136

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ObjectiveTo explore awareness of and participation in cervical screening services in women from Poland, Slovakia and Romania living in London, UK.MethodsThree qualitative studies were carried out in London in 2008–2009: an interview study of professionals working with Central and Eastern European migrants (n=11); a focus group study including three Polish, one Slovak and one Romanian focus group; and an interview study of Polish (n=11), Slovak (n=7) and Romanian (n=2) women.ResultsAwareness of the cervical screening programme was good, but understanding of the purpose of screening was sometimes limited. Some women were fully engaged with the UK screening programme; others used screening both in the UK and their countries of origin; and a third group only had screening in their home countries. Women welcomed the fact that screening is free and that reminders are sent, but some were concerned about the screening interval and the age of the first invitation.ConclusionsMigrant women from Poland, Slovakia and Romania living in London vary in their level of participation in the National Health Service Cervical Screening Programme. More needs to be done to address concerns regarding screening services, and to ensure that language is not a barrier to participation.

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What women want: convenient appointment times for cervical screening tests

Cited by 16 publications

References 5 publications

Patient Appointments in Ambulatory Care

Patient Appointments in Ambulatory Care

Exploring age differences in reasons for nonattendance for cervical screening: a qualitative study

Cervical screening among migrant women: a qualitative study of Polish, Slovak and Romanian women in London, UK

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