Non-attendance or non-invitation? A case-control study of failed outpatient appointments
Open accessAbstract
OBJECTIVE: To determine the causes of non-attendance at new outpatient appointments. DESIGN: Case-control study of non-attenders and attenders. SETTING: Outpatient department of a general hospital. SUBJECTS: All non-attenders (n = 277) for first outpatient appointments in six specialties during a three month period were included. Controls (n = 135) were the attenders who followed every second non-attender; thus they attended the same consultant on the same day that the non-attenders were expected. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Information on the clinical problem, difficulties in attending the hospital, and reasons for non-attendance from the questionnaire were coded and classified. Non-attenders had received shorter notice of their appointment than attenders (14% v 1% had received three days' notice or less). There were small differences in the seriousness of patients' clinical condition. CONCLUSIONS: Client factors are less important than aspects of the service in explaining non-attendance at outpatient appointments.
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Patients who cancel appointments tend to be younger and of lower socioeconomic status.
“Patients who cancel appointments tend to be younger [12,14,15] and of lower socioeconomic status.”
From The impact of the SARS-CoV-2 outbreak on the psychological flexibility and behaviour of cancelling medical appointments of italian patients with pre-existing medical condition: The “impact-COVID-19 for patients” multi-centre observational study (2021) · cites this paper as [14]
The Results report that patients who did not attend their first outpatient appointment were significantly younger than those who attended. The citation is attached to the age claim, but the study concerns non-attendance, not patients who actively cancelled appointments. Its Introduction mentions lower social class in discussing earlier studies, but the citation is not attached to that part of the sentence. (LLM, conf=0.86)
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- Authors
- Frankel, S., Farrow, A., & West, R.
- Affiliations
- University of Wales (GB)
- ORCID
- Farrow, A.
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1989-05-20
- Volume
- 298
- Issue
- 6684
- Pages
- 1343-1345
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC1836620
- OpenAlex
- W2046379709
- Cited by
- 131
- References
- 13
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 5 · 2012: 7
- FWCI
- 28.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Brunel University Research Archive (BURA) (Brunel University London) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- missed appointments, patient factors, health service factors, outpatient clinics
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Appointments and Schedules, Female, Hospitals, General, Humans, Male, Middle Aged, Outpatient Clinics, Hospital, Patient Acceptance of Health Care, Sex Factors, Time Factors, Wales
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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