NON-ATTENDANCE AT OUTPATIENT CLINICS - IS IT RELATED TO THE REFERRAL PROCESS

被引:44
作者
LLOYD, M
BRADFORD, C
WEBB, S
机构
[1] Department of Public Health and Primary Care, Royal Free Hospital School of Medicine, London, NW3 2PF, Rowland Hill Street
关键词
D O I
10.1093/fampra/10.2.111
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Non-attendance at outpatient clinics is a complex problem and previous studies have concentrated on hospital-related factors. It has been suggested that non-attendance might be related to the referral process, including the selection of patients for referral and the quality of communication between GP and patient. These issues are examined in a study of 1492 patients given first-time appointments at ENT and gastroenterology clinics. Non-attendance rates were 26 and 20% respectively. Non-attendance was not related to the nature, severity or duration of the patients' presenting problems at the time of referral or to their perception of the need for referral. Resolution of symptoms did not appear to be a major reason for non-attendance. Patients were significantly less likely to attend if they had been unable or only partly able to discuss their health problem with their general practitioner. Those who had requested referral were equally likely to default.
引用
收藏
页码:111 / 117
页数:7
相关论文
共 13 条
[1]  
Deyo R.A., Dtopouts I.T., Appointments B., A literature review and agenda for future research, Med Care, 18, pp. 1146-1157, (1980)
[2]  
Leese A.M., Wilson J.A., Murray J.A.M., A survey of the non- attendance rate at the ENT clinic of a district general hospital, Clin Otolaryngol, 11, pp. 37-40, (1986)
[3]  
Sladden M.J., Graham-Browne R., How many GP referrals to dermatology outpatients are really necessary?, J Roy Soc Med, 82, pp. 347-348, (1989)
[4]  
Ross A.K., Davis W.A., Horn G., Williams R., General practice orthopaedic referrals in North Staffordshire, Br Med J, 287, pp. 1439-1441, (1983)
[5]  
Frankel S., Farrow A., West R., Non-attendance or non- invitation? A case-control study of failed outpatient appointments, Br Med J, 298, pp. 1343-1345, (1989)
[6]  
McGlade K.J., Bradley T., Murphy G., Lundy G.P., Referrals to hospital by general practitioners
[7]  
a study of compliance and communication, Br Med J, 297, pp. 1246-1248, (1988)
[8]  
Lamberts H., Wood M., ICPC International Classification of Primary Care, Oxford: Oxford University Press, (1989)
[9]  
Mushlin A.I., Appel F.A., Testing an outcome-based quality assurance in primary careMed Care, 18, (1980)
[10]  
Grace J.F., Armstrong D., Referral to hospital: Perceptions of patients, general practitioners and consultants about necessity and suitability of referral, Fam Pract, 4, pp. 170-175, (1987)