A demographic study to profile non-attenders at a gynaecology outpatient clinic. (Record no. 75827)

MARC details
000 -LEADER
fixed length control field 03128cam a2200217 4500
001 - CONTROL NUMBER
control field NMDX6672
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2012 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 01443615
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Pillai, R.
240 ## - UNIFORM TITLE
Uniform title <a href="Journal of obstetrics and gynaecology">Journal of obstetrics and gynaecology</a>
245 ## - TITLE STATEMENT
Title A demographic study to profile non-attenders at a gynaecology outpatient clinic.
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2012
500 ## - GENERAL NOTE
General note NMUH Staff Publications
500 ## - GENERAL NOTE
General note 32
520 ## - SUMMARY, ETC.
Summary, etc. Missed &lt;span class="highlight" style="background-color:"&gt;outpatient&lt;/span&gt; appointments result in the inefficient utilisation of resources and have secondary effects on the health of the &lt;span class="highlight" style="background-color:"&gt;non-attenders&lt;/span&gt;, as well as on other patients who have to wait longer for their appointments. The first part of the &lt;span class="highlight" style="background-color:"&gt;study&lt;/span&gt; involved retrospective analysis of trends of non-attendance based on a computerised database of all &lt;span class="highlight" style="background-color:"&gt;gynaecology&lt;/span&gt; appointments over 12 months. The second comprised a prospective case-control &lt;span class="highlight" style="background-color:"&gt;study&lt;/span&gt; in which women who missed their &lt;span class="highlight" style="background-color:"&gt;gynaecology&lt;/span&gt; &lt;span class="highlight" style="background-color:"&gt;outpatient&lt;/span&gt; appointments (index cases) over 2 months were compared with patients who attended the same clinics matched for indication for referral (control cases). The overall non-attendance rate over 12 months was 16.1%, of whom 42% were recurrent &lt;span class="highlight" style="background-color:"&gt;non-attenders&lt;/span&gt;. Data from 105 defaulters were compared with 105 non-defaulters who attended the same clinics. Defaulters were significantly younger, single or separated and were more likely to be 'follow-ups' rather than new cases (all p &amp;lt; 0.05). Longer intervals between the appointment letter and actual appointment date was significantly related to non-attendance (p = 0.01) and there was a trend to a greater degree of smoking and alcohol ingestion in the defaulter group (p = 0.059). Comparison of other variables such as severity of symptoms, parity, source of referral and fluency of English did not reach statistical significance (p &amp;gt; 0.05). This prospective &lt;span class="highlight" style="background-color:"&gt;study&lt;/span&gt; has demonstrated certain profiles which are common to defaulters and which can be used to develop strategies to minimise non-attendance. Examples include reducing the time interval between sending the appointment letter and actual appointment date and selectively over-booking younger, single women who smoke.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Bhangu, N.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Narayanan, M.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Yoong, W.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://www.ncbi.nlm.nih.gov/pubmed?term=A+demographic+study+to+profile+non-attenders+at+a+gynaecology+outpatient+clinic.&amp;TransSchema=title&amp;cmd=detailssearch">http://www.ncbi.nlm.nih.gov/pubmed?term=A+demographic+study+to+profile+non-attenders+at+a+gynaecology+outpatient+clinic.&amp;TransSchema=title&amp;cmd=detailssearch</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://informahealthcare.com/doi/pdf/10.3109/01443615.2011.635228">http://informahealthcare.com/doi/pdf/10.3109/01443615.2011.635228</a>
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Home library Current library Shelving location Date acquired Total Checkouts Date last seen Price effective from Koha item type
        Staff publications for NMDX Ferriman information and Library Service (North Middlesex) Ferriman information and Library Service (North Middlesex) Shelves 07/06/2022   07/06/2022 07/06/2022 Book
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