Patient age, ethnicity and waiting times determine the likelihood of non-attendance at a first specialist rheumatology assessment

Abstract

Non-attendance is associated with ethnicity, age and waiting times. It is likely that high deprivation influences ethnic variations in attendance but reasons for young people's non-attendance were difficult to identify. Patients domiciled further from the main rheumatology clinic were also less likely to attend. The influence of ethnicity and deprivation may be underestimated in this study as high Maori and Pacific ethnic populations live closer to well-resourced clinics. Focusing administrative resources on at-risk groups and restructuring the clinical service to improve uneven waiting times would be expected to improve attendance rates across the region.

Factors associated with appointment non‐attendance at a medical imaging department in regional Australia: a retrospective cohort analysis

“…Each of these fields was considered as possible factors that may be associated with appointment non-attendance. 2,3,12,[14][15][16][17] For statistical purposes, patients' ages were grouped into eight subcategories (0-9, 10-17, 18-24, 25-34, 35-44, 45-54, 55-64 and 65 years and over).…”

“…[12][13][14] Demographic factors, such as age, ethnicity and gender, affect the likelihood of non-attendance in various primary and secondary healthcare settings. [15][16][17][18] A 2006 case-control study evaluated how patients' health beliefs impacted non-attendance at a medical imaging department in the United Kingdom. 19 The potential for health beliefs such as the perceived importance of disease and associated treatment were found to be less relevant than more practical factors such as choice of appointment and appointment confirmation.…”

Proposal for an Urgency Score as General Referral Strategy to Second- Care Rheumatology

“…Results are summarized in Table 1. In summary, strategies studied to reduce waiting times for a rheumatological appointment were based on implementation of a unspecifi c triage system [7], a consultancy program [12] and an immediate access clinic (IAC) [6] or systematic search for reasons responsible for delayed consultations [13][14][15]. Out of these the rapid access service [6], early arthritis clinic [16], triage of referrals with use of referral forms [7] and educational programs for primary care physicians and health professionals [12] were shown to be effective interventions resulting in reduction of referral delays.…”

“…As contributors for patient-related delay, others identifi ed patient's ethnicity, age and symptomassociated delay [14,18]. Patients with delayed medical seeking behavior had a gradual onset of symptoms in contrast to patients with earlier consultation with prompt onset of symptoms [16].…”

Revisão Sistemática Da Literatura Sobre No-Show Em Agendamento De Consultas

“…Pacientes sem seguro de saúde (consulta de auto-pagamento) são mais propensos a não comparecerem do que pacientes com seguro saúde Weingarten et al, 1997;Karter et al, 2004;Mugavero et al, 2007 Já em outras pesquisas, possuir ou não um plano de saúde não é significativo Kavanagh et al, 1991;Grunebaum et al, 1996;Hampton-Robb et al, 2003;Cashman et al, 2004;Siminoff et al, 2008;Sherman et al, 2009;Samuels et al, 2015;Miller et al, 2015;Storrs et al, 2016 Margolis et al, 1993;Grunebaum et al, 1996;Livianos-Aldana et al, 1999;Hamilton et al, 2002;Adams et al, 2004;Cohen et al, 2005;Lee et al, 2005;Cohen et al, 2007a;Cohen et al, 2007b;Mugavero et al, 2007;Dreiher et al, 2008b;Siminoff et al, 2008;Sola-Vera et al, 2008;Goldbart et al, 2009;Sherman et al, 2009;Pillai et al, 2012;Cronin et al, 2013;Bush et al, 2014;Guay et al, 2014;Milne et al, 2014;Norris et al, 2014;Machado et al, 2015;Partin et al, 2016).…”