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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| http://dx.doi.org/10.1136/bmj.298.6684.1343 | DOI Listing |
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