&lt;p&gt;Qualitative Analyses of the Reasons Why Patients Do Not Attend Scheduled Inpatient Appointments in a Hospital in Guangzhou, China&lt;/p&gt;

Yang, Mudi; Xie, Jingui; Zhang, Huan; Chen, Yingyong; Xie, Shuwen; Peng, Rui; Yue, Jia; Chen, Yajing; Wang, Lizi

doi:10.2147/rmhp.s280665

Cited by 4 publications

(13 citation statements)

References 23 publications

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“…The adverse effects of pain or fear caused by medication therapy and the corresponding references to friends with diabetes have been frequently reported as significant reasons for changing medication therapy ( 6 , 23 ). A proportion of the participants noted that diabetes did not threaten their daily life, and they only referred to physicians when they were severely ill. An arbitrary change would be rational for them, because they reported that they were familiar with their condition and believed they could handle the situation without formal medical counseling ( 24 ). It was likely that a lack of trust in healthcare providers is one potential contributor to nonadherence to medication therapy, as noted in previous studies ( 25 , 26 ); for example, mistrust and tense relationships exist between physicians and patients in China ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

“…However, as one qualitative study indicated, family obligations (caring for family members) and long waiting times (at busy tertiary hospital) were mentioned as the reasons for missing follow-up visits ( 32 ). Specifically, younger patients with a short time since diabetes diagnosis showed blindly optimistic attitudes toward their condition, and this optimism is a potential contributor to the absence of regular follow-up visits ( 24 ). Without consistent glucose monitoring and regular follow-ups, it is hard for the patients to understand their blood glucose levels and evaluate the efficacy of their medication.…”

Section: Discussionmentioning

confidence: 99%

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A Qualitative Exploration of Self-Management Behaviors and Influencing Factors in Patients With Type 2 Diabetes

Peng

Guo

et al. 2022

Front. Endocrinol.

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Background and AimsThe self-management behavior of patients with diabetes involves a complex set of actions involving medication therapy, lifestyle changes, and management of complications in the daily routine. Our study aims to explore adherence to self-management behaviors by patients with type 2 diabetes and the potential factors influencing those behaviors.MethodsThis qualitative study used semi-structured interviews conducted with patients who have type 2 diabetes and who were recruited from the department of endocrinology in a tertiary teaching hospital. Data were analyzed thematically using the interview framework.ResultsOverall, 28 patients with type 2 diabetes were recruited and interviewed. Three types of medication noncompliance behaviors were coded. In particular, blindly optimistic attitudes toward the condition in younger patients who had a short duration of diabetes and fear of or pain from medication therapy were key influencing factors. Irregular monitoring and missed follow-up visits were the most frequently mentioned noncompliance behaviors. Poor understanding of blood glucose monitoring, selective ignorance due to pressure of uncontrolled blood glucose, and blindly optimistic attitudes were also identified as key influencing factors. Dietary behaviors were characterized by an overemphasis on the amount of food in the diet and the preference or declination for particular types of food; ignorance of the dietary structure was present. Misconceptions about dietary and exercise practices were the main types of lifestyles’ noncompliance.ConclusionOur study showed the complex picture of noncompliance with self-management behaviors by patients with type 2 diabetes. Noncompliance covered disordered and arbitrary changes in medication therapy, blood glucose monitoring with poorest adherence, lifestyle modifications and complication management. The study findings identify clear challenges to self-management behavior and identify potential key influencing factors. Future interventions and strategies should aim to help patients translate healthcare provider’s information and instructions into action that improve compliance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Qualitative Exploration of Self-Management Behaviors and Influencing Factors in Patients With Type 2 Diabetes

Peng

Guo

et al. 2022

Front. Endocrinol.

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“…Hospital-specific reasons contributing to non-attendance were predominantly categorized into four main areas: lengthy waiting times, absence of reminders, appointment management issues, and the patient-physician relationship [ 24 , 47 , 49 , 54 , 56 ].…”

Section: Reviewmentioning

confidence: 99%

“…Extended waiting times refer to a prolonged interval from when an appointment is scheduled to the actual date of the appointment [ 24 , 47 , 49 , 54 , 56 ]. Numerous studies have highlighted that extended waiting times for hospital appointments pose a significant challenge within healthcare systems [ 24 , 47 , 49 , 54 , 56 , 57 ], with a public poll showing 75% of respondents prioritized the reduction of waiting times. The correlation between long waiting periods and increased patient non-attendance at appointments is well-documented [ 58 ].…”

Section: Reviewmentioning

confidence: 99%

“…Non-attendance at appointments was also attributed to patients' lack of awareness of the importance of keeping hospital appointments and an inadequate understanding of their health conditions [ 24 , 40 , 49 , 56 , 62 ]. In a Chinese study, patients' insufficient knowledge of their illnesses was noted as a reason for non-attendance, with patients often downplaying its severity if they noticed minor symptom improvements, leading them to consider appointments unnecessary [ 56 ]. Similarly, patients with diabetes minimized the impact of the condition on their daily activities, which contributed to missed appointments [ 49 ].…”

Section: Reviewmentioning

confidence: 99%

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Factors and Reasons Associated With Appointment Non-attendance in Hospitals: A Narrative Review

Alturbag

2024

Cureus

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Non-attendance at hospital appointments is an extremely prevalent issue impacting healthcare systems on a daily basis. This phenomenon adversely affects patient health and healthcare providers, leading to delays in diagnosis and treatment, inefficient resource utilization, and increased healthcare expenses. The detrimental impact of non-attendance is not limited to patients who miss appointments, the knock-on effects of extended waiting times and reduced appointment availability are felt throughout healthcare systems. The purpose of this narrative review is to explore the factors underlying appointment non-attendance in hospital settings, to improve healthcare delivery and patient adherence. An extensive review of the existing global literature was conducted. Quantitative studies that explored the relationship between appointment non-attendance and patient characteristics, such as age, gender, marital status, education level, distance from the hospital, and source of referral, were included. Younger patients, males, individuals with lower levels of education, and those living farther from hospitals were more likely to miss appointments. Marital status was significant, with married patients showing better attendance, as was referral source, with general practitioner referrals associated with higher non-attendance. Qualitative studies identifying both patient-centered and hospital-specific reasons, such as forgetfulness, appointment time, protracted waiting times, patient-physician relationship, and patients’ knowledge and perception of their health condition, were also included in the review. Lack of appointment reminders, difficulties in managing appointments, and inadequate patient-physician communication were significant hospital-specific reasons given for non-attendance. Patients' lack of awareness regarding the importance of attending appointments and limited understanding of their health conditions were also identified as patient-centered contributors. Non-attendance at hospital appointments is a multifaceted issue influenced by a range of socioeconomic, personal, and systemic factors. Addressing these factors requires a holistic approach that includes patient education, improved communication, and tailored healthcare delivery strategies, especially for vulnerable populations in rural areas. Enhanced reminder systems and streamlined appointment management could serve as pivotal interventions to reduce non-attendance rates, ultimately improving healthcare outcomes and resource utilization.

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The utilization of AI in healthcare to predict no-shows for dental appointments: A case study conducted in Saudi Arabia

Almutairi,

Olatunji

2024

Informatics in Medicine Unlocked

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<p>Qualitative Analyses of the Reasons Why Patients Do Not Attend Scheduled Inpatient Appointments in a Hospital in Guangzhou, China</p>

Cited by 4 publications

References 23 publications

A Qualitative Exploration of Self-Management Behaviors and Influencing Factors in Patients With Type 2 Diabetes

A Qualitative Exploration of Self-Management Behaviors and Influencing Factors in Patients With Type 2 Diabetes

Factors and Reasons Associated With Appointment Non-attendance in Hospitals: A Narrative Review

The utilization of AI in healthcare to predict no-shows for dental appointments: A case study conducted in Saudi Arabia

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