PMID: 2508817Sep 2, 1989Paper

Non-admission or non-invitation? A case-control study of failed admissions

BMJ : British Medical Journal
S FrankelR West

Abstract

To examine the causes of non-admission to hospital. Validation of published rates of non-admission by examination of medical records, followed by a case-control study of non-attenders (cases) and attenders (controls). General hospital. 246 Patients (cases in the case-control study) booked for admissions in four specialties (general surgery, gynaecology, otorhinolaryngology, and trauma and orthopaedics) during April, May, and June 1987 who were not admitted for reasons that seemed to be attributable to the patients. Controls comprised 167 patients admitted to the same specialty on the same day. The validation of administrative records indicated that it is unusual for patients to fail to present for admission without advising the hospital beforehand; this occurred in only 1-3% of all bookings. Information on the circumstances of non-admission and clinical and personal details were collected by means of a six page questionnaire completed by the patients. The case-control study showed that those not admitted were younger and had been on the waiting list longer. Otherwise only small differences were found in the social and clinical characteristics. Despite a common tendency to blame patients for non-admission, factors due to patient...Continue Reading

References

Jan 1, 1977·International Journal of Health Services : Planning, Administration, Evaluation·R Crawford
May 20, 1989·BMJ : British Medical Journal·S FrankelR West
Jun 1, 1988·Gut·C EllL Demling
Jan 11, 1986·British Medical Journal·S R EbbsC Teasdale

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Citations

Nov 16, 1991·BMJ : British Medical Journal·S FrankelC Collins
Mar 1, 1991·The British Journal of Surgery·S J Cawthorn, A E Giddings
Apr 8, 1994·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·P M Mullen

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