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Appointment non-attendance

Dawn Choo, Shani Joy Dettman
OBJECTIVE: This study sought to understand factors linked to long-term engagement with available post-implant "mapping" review services for individuals who received cochlear implants (CI)(s) as children. STUDY DESIGN: Demographics, communication outcomes, and appointment attendance records from an unselected group of 400 participants who received CI(s) between 1985 and 2009 were analyzed. RESULTS: After 5 years post-implant, 85.75% (n = 343) of participants attended the clinic for "mapping" appointments between March 2011 and March 2014, but 14...
December 1, 2016: Otology & Neurotology
James M Tesoriero, Britney L Johnson, Rachel Hart-Malloy, Jennifer L Cukrovany, Brenda L Moncur, Kathleen M Bogucki, Bridget J Anderson, Megan C Johnson
CONTEXT: Data to Care (DTC) represents a public health strategy using HIV surveillance data to link persons living with diagnosed HIV infection (PLWDHI) to HIV-related medical care. OBJECTIVE: To investigate the feasibility of the DTC approach applied to a Partner Services program serving a geographically diffuse area of New York State. DESIGN: Disease intervention specialists received training to function as Expanded Partner Services (ExPS) advocates...
November 28, 2016: Journal of Public Health Management and Practice: JPHMP
Philippa H Youl, Joanne F Aitken, Gavin Turrell, Suzanne K Chambers, Jeffrey Dunn, Christopher Pyke, Peter D Baade
Delays in diagnosing breast cancer (BC) can lead to poorer outcomes. We investigated factors related to the diagnostic interval in a population-based cohort of 3202 women diagnosed with BC in Queensland, Australia. Interviews ascertained method of detection and dates of medical/procedural appointments, and clinical information was obtained from medical records. Time intervals were calculated from self-recognition of symptoms (symptom-detected) or mammogram (screen-detected) to diagnosis (diagnostic interval (DI))...
November 19, 2016: International Journal of Environmental Research and Public Health
Dan Robotham, Safarina Satkunanathan, John Reynolds, Daniel Stahl, Til Wykes
OBJECTIVES: Assess the impact of text-based electronic notifications on improving clinic attendance, in relation to study quality (according to risk of bias), and to assess simple ways in which notifications can be optimised (ie, impact of multiple notifications). DESIGN: Systematic review, study quality appraisal assessing risk of bias, data synthesised in meta-analyses. DATA SOURCES: MEDLINE, EMBASE, PsycINFO, Web of Science and Cochrane Database of Systematic Reviews (01...
October 24, 2016: BMJ Open
Paul Aveyard, Amanda Lewis, Sarah Tearne, Kathryn Hood, Anna Christian-Brown, Peymane Adab, Rachna Begh, Kate Jolly, Amanda Daley, Amanda Farley, Deborah Lycett, Alecia Nickless, Ly-Mee Yu, Lise Retat, Laura Webber, Laura Pimpin, Susan A Jebb
BACKGROUND: Obesity is a common cause of non-communicable disease. Guidelines recommend that physicians screen and offer brief advice to motivate weight loss through referral to behavioural weight loss programmes. However, physicians rarely intervene and no trials have been done on the subject. We did this trial to establish whether physician brief intervention is acceptable and effective for reducing bodyweight in patients with obesity. METHODS: In this parallel, two-arm, randomised trial, patients who consulted 137 primary care physicians in England were screened for obesity...
November 19, 2016: Lancet
Jean Baptiste Briere, Kevin Bowrin, Robert Wood, Tim Holbrook, Jenna Roberts
AIMS: To describe the collective costs of vitamin K antagonist (VKA) treatment for stroke prevention in non-valvular atrial fibrillation (NVAF). VKA drug costs are relatively low but they necessitate frequent international normalized ratio (INR) monitoring. There are currently minimal data describing the economic impact of this in Mexico. MATERIALS AND METHODS: Cardiologists provided data on their NVAF patients (n = 400) to quantify direct medical costs (INR testing, appointments, drug costs)...
October 25, 2016: Journal of Medical Economics
Dawn M Klein, Kassi Pham, Leila Samy, Adam Bluth, Kim M Nazi, Matthew Witry, J Stacey Klutts, Kathleen M Grant, Adi V Gundlapalli, Gary Kochersberger, Laurie Pfeiffer, Sergio Romero, Brian Vetter, Carolyn L Turvey
INTRODUCTION: Information continuity is critical to person-centered care when patients receive care from multiple healthcare systems. Patients can access their electronic health record data through patient portals to facilitate information exchange. This pilot was developed to improve care continuity for rural Veterans by (1) promoting the use of the Department of Veterans Affairs (VA) patient portal to share health information with non-VA providers, and (2) evaluating the impact of health information sharing at a community appointment...
October 11, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Noura Khamis Al-Khamis
In Saudi Arabia, breast cancer is diagnosed at advanced stage compared to Western countries. Nevertheless, the perceived barriers to delayed presentation have been poorly examined. Additionally, available breast cancer awareness data are lacking validated measurement tool. The aim of this study is to evaluate the level of breast cancer awareness and perceived barriers to seeking medical care among Saudi women, using internationally validated tool. A cross-sectional study was conducted among adult Saudi women attending a primary care center in Riyadh during February 2014...
October 10, 2016: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
Bonnie A Clough, Sonia M Nazareth, Leanne M Casey
BACKGROUND: Patient non-attendance and dropout remains problematic in mental health settings. The theory of planned behavior (TPB) has proven useful in understanding such challenges in a variety of healthcare settings, but the absence of an adequate measure in mental health has hampered research in this area. OBJECTIVE: The aim of the current study was to develop and conduct an initial psychometric investigation of a brief measure, the Therapy Attitudes and Process Questionnaire (TAP), utilizing the TPB to understand factors associated with attendance in mental health settings...
October 7, 2016: Patient
Emely Ek Blæhr, Rikke Søgaard, Thomas Kristensen, Ulla Væggemose
INTRODUCTION: Non-attended hospital appointments are receiving increasing attention in times when rapid access and efficient service delivery at public hospitals are on the agenda. The aim of this study was to investigate the extent of non-attendance in a Danish outpatient setting and its association with user-level and provider-level characteristics. METHODS: The study was based on appointments scheduled from June 2013 to March 2015 at an orthopaedic and a radiologic outpatient clinic...
October 2016: Danish Medical Journal
Susan Purchase, Jayne Cunningham, Monika Esser, Donald Skinner
The burden of paediatric HIV in South Africa is extremely high. Antiretrovirals (ARVs) are now widely accessible in the country and the clinical emphasis has shifted from initiation of treatment to retention in care. This study describes the cumulative virological failure rate amongst children on ARVs in a peri-urban clinic, and suggests ways in which clinics and partners could improve treatment outcomes. The study was conducted by the non-profit organisation HOPE Cape Town Association. A retrospective file audit determined the cumulative virological failure rate, that is, the sum of all children with a viral load >1000 copies/ml, children on monotherapy, children who had stopped treatment, children lost to follow-up (LTFU) and children who had died...
September 2016: African Journal of AIDS Research: AJAR
Henry C Kitchener, Matthew Gittins, Oliver Rivero-Arias, Apostolos Tsiachristas, Margaret Cruickshank, Alastair Gray, Loretta Brabin, David Torgerson, Emma J Crosbie, Alexandra Sargent, Chris Roberts
BACKGROUND: Falling participation by young women in cervical screening has been observed at a time that has seen an increase in the incidence of cervical cancer in the UK in women aged < 35 years. Various barriers to screening have been documented, including fear, embarrassment and inconvenience. OBJECTIVES: To measure the feasibility, clinical effectiveness and cost-effectiveness of a range of interventions to increase the uptake of cervical screening among young women...
September 2016: Health Technology Assessment: HTA
Folasade P May, Mark W Reid, Samuel Cohen, Francis Dailey, Brennan M R Spiegel
BACKGROUND AND AIMS: Use of GI endoscopy is historically lower in nonwhite ethnic and racial groups compared with whites. These disparities are multifactorial but likely contribute to differences in GI clinical outcomes. We sought to improve endoscopy uptake overall and in minorities by predictive overbooking and active recruitment in a hospital-based GI clinic. METHODS: From January to October 2014, we alternated between traditional booking for Veterans Affairs Healthcare Network patients with a physician recommendation for endoscopy and active recruitment of patients to fill projected open endoscopy appointment slots...
September 10, 2016: Gastrointestinal Endoscopy
C Hulme, P G Robinson, E C Saloniki, K Vinall-Collier, P D Baxter, G Douglas, B Gibson, J H Godson, D Meads, S H Pavitt
OBJECTIVE: To evaluate the clinical and cost-effectiveness of a new blended dental contract incentivising improved oral health compared with a traditional dental contract based on units of dental activity (UDAs). DESIGN: Non-randomised controlled study. SETTING: Six UK primary care dental practices, three working under a new blended dental contract; three matched practices under a traditional contract. PARTICIPANTS: 550 new adult patients...
2016: BMJ Open
Soter Ameh, Kerstin Klipstein-Grobusch, Lucia D'ambruoso, Kathleen Kahn, Stephen M Tollman, Francesc Xavier Gómez-Olivé
The integrated chronic disease management (ICDM) model was introduced as a response to the dual burden of HIV/AIDS and non-communicable diseases (NCDs) in South Africa, one of the first of such efforts by an African Ministry of Health. The aim of the ICDM model is to leverage HIV programme innovations to improve the quality of chronic disease care. There is a dearth of literature on the perspectives of healthcare providers and users on the quality of care in the novel ICDM model. This paper describes the viewpoints of operational managers and patients regarding quality of care in the ICDM model...
September 1, 2016: Health Policy and Planning
Laila S Azam, Tourette A Jackson, Paul E Knudson, John R Meurer, Sergey S Tarima
BACKGROUND: Diabetes self-management education (DSME) is a key component of ensuring optimal diabetes outcomes. Electronic medical record (EMR) systems have transformed diabetes management by providing organized and useful data. However, important gaps remain in the process of how practice settings track referrals and attendance to DSME. PURPOSE: The purpose of this study was to use EMR data to examine patients' demographic, behavioral, and diabetes risk factors by referral pattern to a DSME program in a large midwestern Academic Medical Center...
July 27, 2016: Research in Social & Administrative Pharmacy: RSAP
Susanna Graham, Vasanti Jadva, Tabitha Freeman, Kamal Ahuja, Susan Golombok
The objective of this study was to examine the motivations, experiences and future expectations of identity-release egg donors in the UK following the removal of donor anonymity and the increase in financial compensation for egg donation. This exploratory, in-depth qualitative study comprised semi-structured interviews with 11 women who had attended an egg donation screening appointment at a UK clinic during a four-month period in 2014. Interviews were conducted two to six weeks after the woman had donated or had withdrawn/been rejected from the donation process...
August 26, 2016: Human Fertility: Journal of the British Fertility Society
Noorez Hirani, Emilie N Karafillakis, Azeem Majeed
OBJECTIVES: A service evaluation project on the reasons why children do not attend their outpatient appointments. DESIGN: Analysis of paediatric clinic lists over two consecutive days. Parents of the non-attenders were identified and their reasons for not attending the appointment were elicited using a survey. SETTING: The appointments were scheduled to take place in the Paediatric department at St. Mary's Hospital, London. PARTICIPANTS: Of the 201 appointments scheduled, 49 patients did not attend their paediatric appointment...
August 2016: JRSM Open
Christian Sebelefsky, Jasmin Voitl, Denise Karner, Frederic Klein, Peter Voitl, Andreas Böck
BACKGROUND: Before seeing a pediatrician, parents often look online to obtain child health information. We aimed to determine the influence of IUC (internet use regarding the reason for consultation) on their subjective information level, their assessment of acute diseases and the change in this assessment. Secondary objectives were to identify the most commonly used online resources and factors with an influence on IUC. METHODS: This cross-sectional observational study was conducted at a general pediatric outpatient clinic located in Vienna, Austria...
2016: BMC Pediatrics
N Desai, P Shah
BACKGROUND: The health resource utilisation associated with managing patients with hidradenitis suppurativa (HS) in England is unknown. OBJECTIVE: To describe the characteristics of patients with HS and hospital resource use associated with management of HS in England. METHODS: A retrospective cohort study using Hospital Episode Statistics (HES) data. Patients with a primary diagnosis code for HS (ICD-10 code: L73.2) during an inpatient admission (n=11,359) between 1(st) April 2007 and 31(st) December 2013 were identified; patients with L73...
August 18, 2016: British Journal of Dermatology
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