PMID: 2502248May 20, 1989Paper

Non-attendance or non-invitation? A case-control study of failed outpatient appointments

BMJ : British Medical Journal
S FrankelR West

Abstract

To determine the causes of non-attendance at new outpatient appointments. Case-control study of non-attenders and attenders. Outpatient department of a general hospital. 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. None. 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. Client factors are less important than aspects of the service in explaining non-attendance at outpatient appointments.

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