Nonattendance rates of scheduled outpatient appointments in a university general hospital

Giunta, Diego; Serena, Marina Alonso

doi:10.1002/hpm.2797

Cited by 8 publications

(14 citation statements)

References 20 publications

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“…As reported in many previous publications, nonattendance is very common in outpatient scheduled appointments. In this vein, we found a global nonattendance rate of 27.84% (95%CI 27.79‐27.9) in our center, where the nonattendance rate of general practitioner appointments was 25.53% (95%CI 25.42‐25.63) and that of clinical specialties, 27.78% (95%CI 27.68‐27.87) . The estimated nonattendance rate in the present study was lower for appointments with general practitioners.…”

Section: Discussionsupporting

confidence: 43%

Causes of appointment attendance, nonattendance, and cancellation in outpatient consultations at a university hospital

Briatore

Tarsetti

Latorre

et al. 2019

Health Planning & Management

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Summary Background Nonattendance to scheduled appointments in outpatient clinics is a frequent problem in ambulatory medicine with an impact on health systems and patients' health. The characterization of nonattendance is fundamental for the design of appropriate strategies for its management. Aims To identify causes of nonattendance of scheduled ambulatory medical appointments by adult patients. Methods Case and two controls study nested in a prospective cohort. A telephone‐administered questionnaire was applied within the first 72 hours to identify the causes of attendance, nonattendance, or cancellation in patients who had a scheduled appointment to which they had been present, absent, or cancelled. Results A total of 150 absences (cases), 176 attendances, and 147 cancellations (controls) in a prospective cohort of 160 146 scheduled appointments (2012/2013) were included. According to self‐reports in telephone interviews, the most frequent causes of nonattendance were forgetting 44% (66), unexpected competing events 15.3% (23), illness or unwellness 12% (18), work‐related inconvenience 5.3% (8), transport‐related difficulties 4.7% (4), and cause that motivated appointment scheduling already resolved 4.7% (4). Discussion The main cause of nonattendance is forgetting the scheduled appointment, but there is a proportion of different causes that do not respond to reminders but could respond to different strategies.

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Section: Discussionsupporting

confidence: 43%

Causes of appointment attendance, nonattendance, and cancellation in outpatient consultations at a university hospital

Briatore

Tarsetti

Latorre

et al. 2019

Health Planning & Management

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“…5 A missed hospital appointment affects work flow, reduces patient and staff satisfaction and can lead to a loss in revenue as well as having a negative impact on patient’s health. 6 …”

Section: Introductionmentioning

confidence: 99%

“…5 A missed hospital appointment affects work flow, reduces patient and staff satisfaction and can lead to a loss in revenue as well as having a negative impact on patient's health. 6 Several studies have explored the reasons for a missed hospital appointment. Some patient-related reasons include forgetting, being confused about the appointment date and time, not receiving an appointment reminder, not having transportation to attend, work or family commitments, feeling unwell or being admitted to the hospital on the same day of the appointment.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with missed hospital appointments: a retrospective review of multiple clinics at Royal Hospital, Sultanate of Oman

2021

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ObjectivesMissed hospital appointments pose a major challenge for healthcare systems. There is a lack of information about drivers of missed hospital appointments in non-Western countries and extent of variability between different types of clinics. The aim was to evaluate the rate and predictors of missed hospital appointments and variability in drivers between multiple outpatient clinics.SettingOutpatient clinics in the Royal hospital (tertiary referral hospital in Oman) between 2014 and 2018.ParticipantsAll patients with a scheduled outpatient clinic appointment (N=7 69 118).Study designRetrospective cross-sectional analysis.Primary and secondary outcome measuresA missed appointment was defined as a patient who did not show up for the scheduled hospital appointment without notifying or asking for the appointment to be cancelled or rescheduled. The outcomes were the rate and predictors of missed hospital appointments overall and variations by clinic. Conditional logistic regression compared patients who attended and those who missed their appointment.ResultsThe overall rate of missed hospital appointments was 22.3%, which varied between clinics (14.0% for Oncology and 30.3% for Urology). Important predictors were age, sex, service costs, patient’s residence distance from hospital, waiting time and appointment day and season. Substantive variability between clinics in ORs for a missed appointment was present for predictors such as service costs and waiting time. Patients aged 81–90 in the Diabetes and Endocrine clinic had an adjusted OR of 0.53 for missed appointments (95% CI 0.37 to 0.74) while those in Obstetrics and Gynaecology had OR of 1.70 (95% CI 1.11 to 2.59). Adjusted ORs for longer waiting times (>120 days) were 2.22 (95% CI 2.10 to 2.34) in Urology but 1.26 (95% CI 1.18 to 1.36) in Oncology.ConclusionPredictors of a missed appointment varied between clinics in their effects. Interventions to reduce the rate of missed appointments should consider these factors and be tailored to clinic.

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“…Although the response to conservative treatment has been reported as successful for pain reduction and improvement on function 46 , one of the main limitations of the study is the substantial number of patients failed to show up to follow-up visits, either after initial consultation or posterior to a trigger point injection, situation which could compromise the prognosis of their condition. Published data on attendance to appointments shows that nonattendance is a frequent problem affecting the ambulatory medicine system 47 . It has been shown that a reminder system that includes automatic phone calls or text messages can increase patient attendance.…”

Section: Discussionmentioning

confidence: 99%

Myogenous Orofacial Pain Disorders: A Retrospective Study

Gomez-Marroquin¹,

Abe²,

Padilla³

et al. 2020

J Anesthesiol & Pain Therapy

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Aim: To assess treatment efficacy in the management of orofacial myogenous conditions by a retrospective study of patients seen at an orofacial pain clinic. Methods: A single researcher conducted a retrospective review of charts of patients assigned to the same provider, to identify those with myogenous disorders. The reviewed charts belonged to patients of the Orofacial Pain and Oral Medicine Center of the University of Southern California, seeing from June 2018 to October 2019. Results: A total of 129 charts included a myogenous disorder; the most common primary myogenous disorder was localized myalgia (58 cases, 45.0%). Arthralgia was the most common TMD concomitant condition (82.9%), followed by internal derangement (41.9%). Forty-six patients were given a home-based conservative physical care protocol; ten additional cases also received trigger point injections (lidocaine or mepivacaine) with pain assessed by verbal numerical rating scale (NRS), pre- and post-treatment follow-up within 24 weeks. There was a significant overall pain improvement in NRS pain from pre- to post-treatment (p<0.001), though no difference was found between conservative treatment and trigger points in NRS pain (p=0.130). However, the rate of NRS unit improvement per week in the conservative treatment group was significantly greater than the trigger point group (p=0.036). These apparently contradictory results might be due to the small sample size of the trigger point injections group (n=10). Conclusion: In this small sample size study, the addition of trigger point injections to conservative treatment provided inconclusive results, further studies are needed.

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Nonattendance rates of scheduled outpatient appointments in a university general hospital

Cited by 8 publications

References 20 publications

Causes of appointment attendance, nonattendance, and cancellation in outpatient consultations at a university hospital

Causes of appointment attendance, nonattendance, and cancellation in outpatient consultations at a university hospital

Prevalence and factors associated with missed hospital appointments: a retrospective review of multiple clinics at Royal Hospital, Sultanate of Oman

Myogenous Orofacial Pain Disorders: A Retrospective Study

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