Cited by 36Psychiatric care and mental health servicesHealthcare Operations and Scheduling OptimizationMental Health Treatment and Access

A prospective outcome study of patients missing regular psychiatric outpatient appointments

Pang, A. H. T., Lum, F. C. K., Ungvari, G. S., Wong, C. K., Leung, Y. S.·1996·Social Psychiatry and Psychiatric Epidemiology

Abstract

This paper describes a prospective follow-up study of defaulters of regular psychiatric outpatient appointments in Hong Kong. To establish outcome, 258 patients were traced 6 months after their non-attendance at a follow-up clinic. Results showed that 50% returned while the rest dropped out of treatment. The clinical and demographic variables, including employment, marriage, being seen by faculty rather than resident staff, a past history of default and shorter length of contact at the clinic studied (within a year), were all significant in predicting drop-out. There was a trend for those who reattended to have received a telephone reminder, to be a student and to be single. Out of the 129 drop-out patients, 84 were traced, 23 were admitted to hospital and 5 died. There were no deaths and only 5 patients required hospitalisation among the attenders. We concluded that active reengagement of psychiatric outpatient defaulters is required.

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Crossref · 10.1007/bf00787924

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  • Estimated prevalence of dropout varies from 15 to 60% and is even higher among young people, particularly in the age group of 15-24 years.

    “Estimated prevalence varies from 15 to 60 % [3–6] and is even higher among young people [4, 7–9], particularly in the age group of 15–24 years [4].”

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Authors
Pang, A. H. T., Lum, F. C. K., Ungvari, G. S., Wong, C. K., & Leung, Y. S.
Affiliations
  • Prince of Wales Hospital (CN)
  • Chinese University of Hong Kong (HK)
Venue
Social Psychiatry and Psychiatric Epidemiology
Published
1996-09
Volume
31
Issue
5
Pages
299-302
ISSN
  • 0933-7954 (ISSN-L)
  • 1433-9285
OpenAlex
W90073803
Cited by
36
References
10
Citations by year
2026: 1 · 2023: 1 · 2021: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 1
FWCI
1.58
Type
journal article
Language
en
Open access
closed
Locations
  • Social Psychiatry and Psychiatric Epidemiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
missed appointments, outpatient psychiatric care, treatment discontinuation, re-attendance, predictors of dropout, telephone reminders, re-engagement, follow-up outcomes, hospitalization, mortality
MeSH terms
Adult, Ambulatory Care, Appointments and Schedules, Mental Disorders, Female, Hong Kong, Humans, Male, Middle Aged, Patient Dropouts, Prospective Studies, Outcome Assessment, Health Care

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