Absentismo, y factores asociados, en las citas programadas de una consulta externa de Medicina Preventiva

Nonattendance rates of scheduled outpatient appointments in a university general hospital

“…Although the vast majority of published studies use similar definitions of nonattendance, many studies consider variations in the definition of absence case or the denominator . Some examples of variation are including only the first appointment for each patient, considering cancelations and absences as cases, and defining the denominator without cancelations.…”

“…This estimation included spontaneously‐assigned appointments made at the time of the provision of care (ie, squeeze in appointments), which could explain the low nonattendance rate, as these appointments can never be missed . Also, nonattendance rate was 7.6% in primary care in Australia, 10% in Aragón considering all the specialties together in a high immigration proportion population and a high proportion of rural origin in the Aragonés High Resolution Sanitary Consortium (CASAR), 12.5% in preventive medicine consultations in Zaragoza, 13.8% in diabetes clinic in Singapore, 13% and 16% in allergy consultations in Murcia, and 14.6% in Albacete …”

“…This estimation included spontaneously-assigned appointments made at the time of the provision of care (ie, squeeze in appointments), which could explain the low nonattendance rate, as these appointments can never be missed. 1 Also, nonattendance rate was 7.6% in primary care in Australia, 12 10% in Aragón considering all the specialties together in a high immigration proportion population and a high proportion of rural origin in the Aragonés High Resolution Sanitary Consortium (CASAR), 9 12.5% in preventive medicine consultations in Zaragoza, 13,14 13.8% in diabetes clinic in Singapore, 15 13% and 16% in allergy consultations in Murcia, 16,17 and 14.6% in Albacete. 18 Probably within the highest reported nonattendance rates examples are Singapore 18.5% and 35.9% as part of the Predicting Appoint Misses (PAM) project, 19 18.6% in dermatology clinics in the United States, 20 18.8% in the United Sates over a 12-year period, 21 19% outpatient neurology consultations in Spain, 22 28% in programmed chronic medication distribution centers in South Africa, 23 and 45.12% in Jordan 24 .…”

“…Although the vast majority of published studies use similar definitions of nonattendance, many studies consider variations in the definition of absence case or the denominator. 14 Some examples of variation are including only the first appointment for each patient, considering cancelations and absences as cases, and defining the denominator without cancelations. These variations in definitions, along with the variability of settings, populations, health systems, and ambulatory appointments management systems, could limit the validity of comparisons between nonattendance rates.…”

Alcances y limitaciones de la teleconsulta en pandemia de covid-19: relatos de profesionales de la salud del primer nivel de atención de la Ciudad Autónoma de Buenos Aires

“…Inicialmente, para abril de 2020, la tasa de ausentismo global (consultas presenciales y virtuales) fue del 66%, probablemente explicada por la falta de comunicación al paciente sobre la migración de agendas a teleconsultas y/o falta de entrenamiento en esta nueva modalidad. Sin embargo, desde agosto de 2020 se siguió manteniendo en 30% de manera persistente, lo que representa un importante obstáculo en la costo-efectividad de la asistencia sanitaria (51) .…”