Falta de asistencia a las citas programadas en una consulta ambulatoria de geriatría: estudio de casos y controles

Guerrero, José L.; García-Mayolín, N.; Zuluaga, Robín; Cavestany, Fernando Barreiro; García-Gutiérrez, R.; Arana, A.

doi:10.1016/s0211-139x(05)74870-8

Cited by 2 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our results underscore disability as a major cause of health burden and as the nonfatal impact of health conditions, possibly leading to difficulty attending an outpatient clinic if the context is unfavorable. Disability has been seldom described as a NA correlate; however, in a study by González-Guerrero et al [30], the Barthel scale score, one of the most popular assessment tools for basic functioning, was found to be lower (worse function) in those not attending clinic appointments than in those who did attend.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Factors Associated with Nonattendance to a Geriatric Clinic among Mexican Older Adults

et al. 2021

View full text Add to dashboard Cite

Introduction: Outpatient appointment nonattendance (NA) represents a public health problem, increasing the risk of unfavorable health-related outcomes. Although NA is significant among older adults, little is known regarding its correlates. This study aimed to identify the correlates (including several domains from the geriatric assessment) of single and repeated NA episodes in a geriatric medicine outpatient clinic, in general and in the context of specific comorbidities. Methods: This is a cross-sectional study including data from 3,034 older adults aged ≥60 years with ≥1 scheduled appointments between January 1, 2016, and December 31, 2016. Appointment characteristics as well as sociodemographic, geographical, and environmental information were obtained. Univariate and multivariate multinomial regression analyses were carried out. Results: The mean age was 81.8 years (SD 7.19). Over a third (37.4%) of participants missed one scheduled appointment, and 14.4% missed ≥2. Participants with a history of stroke (OR 1.336, p = 0.041) and those with a greater number of scheduled appointments during the study time frame (OR 1.182, p < 0.001) were more likely to miss one appointment, while those with Parkinson’s disease (OR 0.346, p < 0.001), other pulmonary diseases (OR 0.686, p = 0.008), and better functioning for activities of daily living (ADL) (OR 0.883, p < 0.001) were less likely to do so. High socioeconomic level (OR 2.235, p < 0.001), not having a partner (OR 1.410, p = 0.006), a history of fractures (OR 1.492, p = 0.031), and a greater number of scheduled appointments (OR 1.668, p < 0.001) increased the risk of repeated NA, while osteoarthritis (OR 0.599, p = 0.001) and hypertension (OR 0.680, p = 0.002) decreased it. In specific comorbidity populations (hypertension, type 2 diabetes mellitus, and cancer), better ADL functioning protected from a single NA, while better mobility functioning protected from repeated NA in older patients with hypertension and cancer. Discussion/Conclusion: Identifying geriatric factors linked to an increased probability of NA may allow one to anticipate its likelihood and lead to the design and implementation of preventive strategies and to an optimization of the use of available health resources. The impact of these factors on adherence to clinical visits requires further investigation.

show abstract

Section: Discussion/conclusionmentioning

confidence: 99%

Factors Associated with Nonattendance to a Geriatric Clinic among Mexican Older Adults

et al. 2021

View full text Add to dashboard Cite

show abstract

“…La adherencia terapéutica, entre otras cosas, se define como el grado de coincidencia del comportamiento de un paciente en relación con las indicaciones sanitarias, que incluye la regularidad en los controles [9][10][11] , siendo considerada un tema prioritario de salud pública y una de las principales causas de fracaso terapéutico 12 . En los países en desarrollo el promedio de adherencia alcanza solo el 50%, siendo incluso menor en los países en vías de desarrollo 13 , lo que conlleva un riesgo para la salud de los pacientes 14 y un mal uso de los recursos asistenciales, lo que puede representar un problema de gestión clínica al suponer una reducción de la eficiencia y un derroche de recursos muchas veces limitados 15 . La inasistencia a controles de salud se ha señalado como una de las formas más comunes de incumplimiento del adulto mayor 14 .…”

Section: Introductionunclassified

Experiencia y trato percibido por adultos mayores que no acuden a controles de salud

CalderÃ3n-GonzÃ¡lez¹,

Quiroz-Espinoza²,

Salazar-RÃ¶ling³

2020

RMF

View full text Add to dashboard Cite

Identify the experience of the elderly who does not attend health checks. Methods: The qualitative research was conducted with ten elderly adults not attending to two Family Health Centers (CESFAM) in the community of Puerto Montt, Chile. The in-depth interview information gathering technique was used, the data were analyzed in three phases: a) discovery in process; b) coding and refinement, and c) phase of data relativization. Results: Negative and positive aspects of the relationship with the health team were identified referring to the treatment in the care and the expected resolution. They highlighted the perception of bureaucracy; it was raised as an expectation to receive preferential treatment for the elderly. Waiting times of institutional attention were one of the most important aspects in the positive or negative opinion, being a reason for dissatisfaction in users and therefore one of their main expectations of change in their CES-FAM. Conclusion: Given the characteristics of older adults, it is important to establish a personalized contact, seeking to generate adequate communication and establish plans and commitments with patients, ensuring user satisfaction, which would improve adherence.

show abstract

Falta de asistencia a las citas programadas en una consulta ambulatoria de geriatría: estudio de casos y controles

Cited by 2 publications

References 17 publications

Factors Associated with Nonattendance to a Geriatric Clinic among Mexican Older Adults

Factors Associated with Nonattendance to a Geriatric Clinic among Mexican Older Adults

Experiencia y trato percibido por adultos mayores que no acuden a controles de salud

Contact Info

Product

Resources

About