Factors Associated With Nonattendance at Scheduled Outpatient Appointments in a University General Hospital (AU1)
|ClinicalTrials.gov Identifier: NCT02108873|
Recruitment Status : Completed
First Posted : April 9, 2014
Last Update Posted : March 24, 2015
|Condition or disease|
|Appointments and Schedules Outpatient Clinics, Hospital/Economics|
Nonattendance at scheduled appointments at outpatient clinics is a common problem in general medical practice, representing a significant cost to the health care system, and resulting in disruption of daily work planning.Nonattendance at medical appointments has consequences not only for doctors (as it requires a greater use of resources and time), but also for patients, because there may be deterioration in the quality of care, and dissatisfaction associated with delays in obtaining a new appointment.
Previous studies have reported that nonattendance at scheduled appointments is most frequently associated with those patients attending follow-up appointments, generally those assigned to another professional, those with appointments on Fridays, and those with appointments assigned 1 - 2 weeks in advance. Nonattendance was also associated with younger patient age, greater psychological problems, and lower socioeconomic status.Furthermore, in patients with chronic diseases, the nonattendance rate was also reported to be lower. Clinical patient characteristics can be important predictors of nonattendance, but they required high quality electronic health records to predict nonattendance accurately In the United States and Europe, the nonattendance rate is estimated to be between 6.5%-55%; there is little evidence regarding nonattendance in Latin America. Many studies have described the prevalence and impact of nonattendance at scheduled medical appointments, and possible strategies to decrease the nonattendance rate. However, few studies have utilized the characteristics associated with nonattendance for building predictive models, which might better identify those patients who may not attend a scheduled appointment
|Study Type :||Observational|
|Actual Enrollment :||10000 participants|
|Official Title:||Factors Associated With Nonattendance at Scheduled Outpatient Appointments in a University General Hospital|
|Study Start Date :||May 2014|
|Actual Primary Completion Date :||September 2014|
|Actual Study Completion Date :||December 2014|
Adult patients who had scheduled an appointment for outpatient primary care. Patients were divided into two groups, including those who attended their scheduled appointment and those who missed it.
- Prevalence of non attendance, attendance and cancellation [ Time Frame: Cohort study of 24 month ]Characterize, describe and compare the clinical and administrative characteristics of outpatients who didn't attend, attended and cancelled an appointment in internal medicine/primary health care, clinical subspecialties and surgical specialties.
- Clinical and administrative characteristics [ Time Frame: Cohort study of 24 month ]Characterize, describe and compare the clinical and administrative characteristics of outpatients who didn't attend, attended and cancelled an appointment in internal medicine/primary health care, clinical subspecialties and surgical specialties.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02108873
|Hospital Italiano de Buenos Aires|
|Capital Federal, Buenos Aires, Argentina, C1199ABD|
|Principal Investigator:||Diego H Giunta, MD||Hospital Italiano de Buenos Aires|