Patient characteristics affecting attendance at general outpatient clinics.
Open accessAbstract
A study was carried out to identify the characteristics of children who do not attend appointments at general outpatient clinics. Over six months, 359 children who had an appointment at a general clinic were studied using a questionnaire given to parents (74% response rate) and by inspection of case notes. Based on their first appointment in the study period, children were divided into 'attenders' (n = 262) and 'non-attenders' (n = 97) for analysis. Non-attenders were significantly more likely to have one or more of the following characteristics: lower social class, poorer housing, unmarried parent(s) (56% v 33%), longer journey to clinic (35 v 27.6 minutes), more appointments per year (4.2 v 3.3), poorer past attendance record, and received their appointment by post (76% v 44%). Surprisingly parents of non-attenders rated their children to have a significantly more severe illness than those who attended. These results suggest that attendance is primarily determined by social and logistical factors as well as appointment details, rather than illness severity.
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Services that are less permeable tend to have high levels of default by socio-economically disadvantaged people.
“Services that are less permeable tend to have high levels of default by socio-economically disadvantaged people [50-53].”
From Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups (2006) · cites this paper as [51]
The Abstract and Discussion report higher non-attendance among children from lower social classes and poorer housing, and link attendance to travel and appointment arrangements. The paper studies general paediatric outpatient clinics, however; it does not compare services by how permeable they are or establish that less permeable services generally have higher default rates. (LLM, conf=0.84)
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- Authors
- McClure, R. J., Newell, S. J., & Edwards, S.
- Affiliations
- St James's University Hospital (GB)
- ORCID
- Edwards, S
- Venue
- Archives of Disease in Childhood
- Publisher
- BMJ
- Published
- 1996-02-01
- Volume
- 74
- Issue
- 2
- Pages
- 121-125
- ISSN
- 0003-9888 (ISSN-L)
- 1468-2044
- PMC
- PMC1511515
- OpenAlex
- W2007363148
- Cited by
- 54
- References
- 14
- Citations by year
- 2021: 3 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 6 · 2014: 5 · 2013: 3 · 2012: 3
- FWCI
- 3.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Disease in Childhood (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Social Sciences › Health › Public Health and Social Inequalities
- Keywords
- missed appointments, children, general outpatient clinic, social class, housing conditions, parental marital status, travel time to clinic, perceived illness severity, social determinants of health, primary care
- MeSH terms
- Age Factors, Appointments and Schedules, Child, Child, Preschool, England, Health Services Accessibility, Humans, Infant, Infant, Newborn, Outpatient Clinics, Hospital, Postal Service, Prospective Studies, Severity of Illness Index, Social Class, Social Conditions, Treatment Refusal
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