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Appointment non-attendance

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https://www.readbyqxmd.com/read/29779811/do-dietetic-patients-in-a-regional-area-attend-a-drop-in-diabetes-outpatient-clinic-proof-of-concept-observational-study
#1
Clare Byrne, Rachel Roth, Julianne Donnelly, Gill Dicker, Michelle Palmer
BACKGROUND/AIMS: Drop-in clinics may be an alternative patient-centred approach to traditional appointment systems. However patient uptake in Allied Health settings is unknown. Given the limited literature, this observational prospective project tested whether patients with diabetes would present to a drop-in clinic, and whether the types and volume of patients would change due to introduction of a drop-in clinic. METHODS: Alongside a referral-based booked individual appointment service (standard care (SC)), a drop-in clinic was introduced allowing patients to present without appointment...
June 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29755757/need-to-improve-awareness-and-treatment-compliance-in-high-risk-patients-for-diabetic-complications-in-nepal
#2
Raju P Sapkota, Tirthalal Upadhyaya, Govind Gurung, Mike Parker, Rajiv Raman, Shahina Pardhan
Objective/introduction: It is known that knowledge, awareness, and practice influence diabetic control. We compared factors pertaining to healthy lifestyle (exercising, avoiding smoking), self-help (attending appointments, following treatment regimens), and diabetic awareness in high-risk patients for diabetic complications, specifically, those on insulin versus non-insulin treatment, and also those with a longer diabetic duration (≥5 years) versus a shorter duration. Methods: 200 consecutive patients with type 2 diabetes (52...
2018: BMJ Open Diabetes Research & Care
https://www.readbyqxmd.com/read/29730633/use-of-a-gp-endorsed-12-months-reminder-letter-to-promote-uptake-of-bowel-scope-screening-protocol-for-a-randomised-controlled-trial-in-a-hard-to-reach-population
#3
Christian von Wagner, Yasemin Hirst, Sara Tookey, Robert S Kerrison, Sarah Marshall, Andrew Prentice, Daniel Vulkan, Una Macleod, Stephen Duffy
INTRODUCTION: Flexible sigmoidoscopy (FS) screening is associated with reduced colorectal cancer incidence and mortality when offered as a one-off test to men and women aged 55-64. The test, also referred to as the 'bowel scope screening' (BSS) test, was added to England's national Bowel Cancer Screening Programme in March 2013, where it is offered to men and women aged 55. Since its implementation, uptake of the BSS test has been low, with only 43% of the eligible population attending an appointment...
May 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29686134/responsibility-for-follow-up-during-the-diagnostic-process-in-primary-care-a-secondary-analysis-of-international-cancer-benchmarking-partnership-data
#4
Brian D Nicholson, Clare R Goyder, Clare R Bankhead, Berit S Toftegaard, Peter W Rose, Hans Thulesius, Peter Vedsted, Rafael Perera
BACKGROUND: It is unclear to what extent primary care practitioners (PCPs) should retain responsibility for follow-up to ensure that patients are monitored until their symptoms or signs are explained. AIM: To explore the extent to which PCPs retain responsibility for diagnostic follow-up actions across 11 international jurisdictions. DESIGN AND SETTING: A secondary analysis of survey data from the International Cancer Benchmarking Partnership...
April 23, 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29672542/attrition-when-providing-antiretroviral-treatment-at-cd4-counts-500cells-%C3%AE-l-at-three-government-clinics-included-in-the-hptn-071-popart-trial-in-south-africa
#5
Peter Bock, Geoffrey Fatti, Nathan Ford, Karen Jennings, James Kruger, Colette Gunst, Françoise Louis, Nelis Grobbelaar, Kwame Shanaube, Sian Floyd, Ashraf Grimwood, Richard Hayes, Helen Ayles, Sarah Fidler, Nulda Beyers
INTRODUCTION: WHO recommends antiretroviral treatment (ART) for all HIV-positive individuals. This study evaluated the association between baseline CD4 count and attrition in a cohort of HIV positive adults initiating ART at three department of health (DOH) clinics routinely providing ART at baseline CD4 counts >500cells/μL for the HPTN 071 (PopART) trial. METHODS: All clients attending the DOH clinics were managed according to standard care guidelines with the exception that those starting ART outside of pertinent local guidelines signed research informed consent...
2018: PloS One
https://www.readbyqxmd.com/read/29660771/integrated-approach-to-oral-health-in-aged-care-facilities-using-oral-health-practitioners-and-teledentistry-in-rural-queensland
#6
Anna Tynan, Lisa Deeth, Debra McKenzie, Carolyn Bourke, Shayne Stenhouse, Jacinta Pitt, Helen Linneman
PROBLEM: Residents of residential aged care facilities are at very high risk of developing complex oral diseases and dental problems. Key barriers exist in delivering oral health services to residential aged care facilities, particularly in regional and rural areas. DESIGN: A quality improvement study incorporating pre- and post chart audits and pre- and post consultation with key stakeholders, including staff and residents, expert opinion on cost estimates and field notes were used...
April 16, 2018: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/29616141/randomised-controlled-trial-to-compare-the-diagnostic-yield-of-positron-emission-tomography-ct-pet-ct-targeted-pleural-biopsy-versus-ct-guided-pleural-biopsy-in-suspected-pleural-malignancy-target-trial
#7
Duneesha de Fonseka, Wendy Underwood, Louise Stadon, Najib Rahman, Anthony Edey, Chris Rogers, Nick A Maskell
Introduction: Pleural malignancy, particularly malignant pleural mesothelioma (MPM) is increasing in incidence due to the long latency period from exposure to asbestos to development of the disease. MPM can be challenging to diagnose. For patients presenting without a pleural effusion, CT-guided biopsy remains the primary choice of biopsy, but the diagnostic sensitivity of this investigation is 70%-75%. Therefore, a proportion of patients will go on to require further biopsies. If the first biopsy is non-diagnostic, the chances of further non-diagnostic biopsies are high in MPM...
2018: BMJ Open Respiratory Research
https://www.readbyqxmd.com/read/29609612/association-between-age-and-outpatient-clinic-arrival-time-myth-or-reality
#8
Kashif Waqar Faiz, Espen Saxhaug Kristoffersen
BACKGROUND: Non-attendance and late arrivals diminish patient flow in outpatient clinics. On the other hand, patient earliness may also be undesirable. Physicians often experience that older patients are more punctual than younger patients, and often they come excessively early. The aim of this study was to determine whether an association between age and outpatient clinic arrival time could be established or not, i.e. to find out if it is a myth or a reality. METHODS: Prospective descriptive study performed at a neurological outpatient clinic...
April 2, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29578353/barriers-to-diabetes-awareness-and-self-help-are-influenced-by-people-s-demographics-perspectives-of-south-asians-with-type-2-diabetes
#9
Shahina Pardhan, Georgina Nakafero, Rajiv Raman, Raju Sapkota
AIM: To determine whether barriers to diabetes awareness and self-help differ in South Asian participants of different demographic characteristics (age, gender, and literacy) with type 2 diabetes living in the United Kingdom. METHODS: Six focus group discussions (FGDs) were carried out in patients who were categorized according to age (30-60 years, ≥60 years), gender (male, female) and literacy status (literate, illiterate). Data were analysed following the iterative process of thematic analysis techniques...
March 26, 2018: Ethnicity & Health
https://www.readbyqxmd.com/read/29553442/factors-affecting-adherence-to-appointment-system-in-the-clinic-for-non-communicable-diseases-in-unrwa-s-khan-younis-health-centre-and-the-role-of-mobile-phone-text-messages-to-improve-adherence-a-descriptive-cross-sectional-study
#10
Sanaa Al Najjar, Tamer Al Shaer
BACKGROUND: To meet the emerging needs of the increasing numbers of patients with non-communicable diseases and to provide optimum care with optimum contact time and minimum waiting time, as stated in UNRWA guidelines, the mobile phone text messaging system was implemented in UNRWA centres to remind patients of upcoming appointments and to thereby improve the quality of care for vulnerable patients and regulate the work load in the clinics for non-communicable diseases. The aim of this study was to assess the causes for lack of adherence to the appointment system at UNRWA centres...
February 21, 2018: Lancet
https://www.readbyqxmd.com/read/29544481/using-overbooking-to-manage-no-shows-in-an-italian-healthcare-center
#11
Chiara Anna Parente, Domenico Salvatore, Giampiero Maria Gallo, Fabrizio Cipollini
BACKGROUND: In almost all healthcare systems, no-shows (scheduled appointments missed without any notice from patients) have a negative impact on waiting lists, costs and resource utilization, impairing the quality and quantity of cares that could be provided, as well as the revenues from the corresponding activity. Overbooking is a tool healthcare providers can resort to reduce the impact of no-shows. METHODS: We develop an overbooking algorithm, and we assess its effectiveness using two methods: an analysis of the data coming from a practical implementation in an healthcare center; a simulation experiment to check the robustness and the potential of the strategy under different conditions...
March 15, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29538560/non-use-of-primary-care-routine-consultations-for-individuals-with-hypertension
#12
Mayckel da Silva Barreto, Raquel de Deus Mendonça, Adriano Marçal Pimenta, Cristina Garcia-Vivar, Sonia Silva Marcon
The objectives of this study were to identify, among individuals with hypertension, sociodemographic factors associated with non-use of routine medical appointments available in primary care and check if non-use of consultations interferes with noncompliance with pharmacotherapy, uncontrolled blood pressure and hospitalization. This is a cross-sectional study with random and stratified sampling. A total of 422 individuals living in the city of Maringá, Paraná, were interviewed. There were crude and adjusted analyses using logistic regression, estimating odds ratios and 95% confidence intervals...
March 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29524482/the-effects-of-metformin-on-maternal-haemodynamics-in-gestational-diabetes-mellitus-a-pilot-study
#13
Mohamed Waseem Osman, Mintu Nath, Asma Khalil, David R Webb, Thompson G Robinson, Hatem A Mousa
BACKGROUND: Gestational diabetes mellitus (GDM) is a major clinical challenge and is likely to remain so as the incidence of GDM continues to increase. AIM: To assess longitudinal changes in maternal haemodynamics amongst women diagnosed with GDM requiring either metformin or dietary intervention in comparison to low-risk healthy controls. METHODOLOGY: Fifty-six pregnant women attending their first appointment at the GDM clinic and 60 low-risk healthy pregnant controls attending their routine antenatal clinics were recruited and assigned to three groups: GDM Metformin (GDM-M), GDM Diet (GDM-D) and Control...
May 2018: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/29499677/reasons-for-reported-suspicion-of-child-maltreatment-and-responses-from-the-child-welfare-a-cross-sectional-study-of-norwegian-public-dental-health-personnel
#14
Ingfrid Vaksdal Brattabø, Ragnhild Bjørknes, Anne Nordrehaug Åstrøm
BACKGROUND: To prevent child maltreatment, the identification of vulnerable children is essential. In Norway, public dental health personnel (PDHP) report suspicion of child maltreatment to child welfare services (CWS) at a relatively high rate. However, their reasons for reporting and the response from CWS have not been investigated. The objectives of this study were to (1) explore the reasons that PDHP send reports of concern, (2) examine how CWS responds to PDHP reports, and (3) assess whether different reasons for concern are associated with a given response from CWS...
March 2, 2018: BMC Oral Health
https://www.readbyqxmd.com/read/29465743/participation-in-bowel-screening-among-men-attending-abdominal-aortic-aneurysm-screening
#15
A J Quyn, C G Fraser, J Rodger, A Digan, A S Anderson, R J C Steele
BACKGROUND: Uptake of population-based screening for colorectal cancer in Scotland is around 55 per cent. Abdominal aortic aneurysm (AAA) screening has recently been introduced for men aged 65 years and the reported uptake is 78 per cent. The aim was to determine the impact of a brief intervention on bowel screening in men who attended AAA screening, but previously failed to complete bowel screening. METHODS: Men invited for AAA screening between September 2015 and March 2016 within NHS Tayside were included...
April 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29455553/correlates-of-missed-clinic-visits-among-youth-living-with-hiv
#16
Nicholas Tarantino, Larry K Brown, Laura Whiteley, M Isabel Fernández, Sharon L Nichols, Gary Harper
Youth living with HIV (YLH) have significant problems with attending their medical appointments. Poor attendance, consequently, predicts viral non-suppression and other negative health outcomes. To identity targets of intervention, this cross-sectional study examined correlates of past-year missed clinic visits among YLH (N = 2125) attending HIV clinics in the United States and Puerto Rico. Thirty-six percent of YLH missed two or more visits in the past year. Several factors were associated with missed visits in our regression model...
February 17, 2018: AIDS Care
https://www.readbyqxmd.com/read/29448879/extending-access-to-care-across-the-rural-us-south-preliminary-results-from-the-alabama-ehealth-programme
#17
Kriti M Jain, Prashanth Bhat, Cathy Maulsby, Alexandria Andersen, Tomas Soto, Ashley Tarrant, David R Holtgrave, Erin Nortrup, Melissa Werner, Laurie Dill
Purpose Using a mixed-methods formative evaluation, the purpose of this study was to provide a broad overview of the Alabama eHealth programme set-up and initial patient outcomes. The Alabama eHealth programme uses telemedicine to provide medical care to people living with HIV in rural Alabama. It was led by a community-based organisation, Medical Advocacy and Outreach (MAO), and supported by AIDS United and the Corporation for National Community Service's Social Innovation Fund with matching support from non-federal donors...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29415718/moving-anticoagulation-initiation-and-monitoring-services-into-the-community-evaluation-of-the-brighton-and-hove-community-pharmacy-service
#18
Samantha J Ingram, Charlotte L Kirkdale, Sian Williams, Elaine Hartley, Susan Wintle, Valerie Sefton, Tracey Thornley
BACKGROUND: As part of the NHS desire to move services closer to where people live, and provide greater accessibility and convenience to patients, Brighton and Hove Clinical Commissioning Group (CCG) underwent a review of their anticoagulation services during 2008. The outcome was to shift the initiation and monitoring service in secondary care for non-complex patients, including domiciliary patients, into the community. This was achieved via a procurement process in 2008 resulting in the Community Pharmacy Anticoagulation Management Service (CPAMs) managed by Boots UK (a large chain of community pharmacies across the United Kingdom)...
February 7, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29415024/identifying-evidence-practice-gaps-and-strategies-for-improvement-in-aboriginal-and-torres-strait-islander-maternal-health-care
#19
Melanie E Gibson-Helm, Jodie Bailie, Veronica Matthews, Alison F Laycock, Jacqueline A Boyle, Ross S Bailie
INTRODUCTION: Adverse pregnancy outcomes are more common among Aboriginal and Torres Strait Islander populations than non-Indigenous populations in Australia. Later in life, most of the difference in life expectancy between Aboriginal and Torres Strait Islander women and non-Indigenous women is due to non-communicable diseases (NCDs). Most Aboriginal and Torres Strait Islander women attend health services regularly during pregnancy. Providing high-quality care within these appointments has an important role to play in improving the current and future health of women and babies...
2018: PloS One
https://www.readbyqxmd.com/read/29388909/effectiveness-of-automated-appointment-reminders-in-psychosis-community-services-a-randomised-controlled-trial
#20
Eugenia Kravariti, Christopher Reeve-Mates, Rafaela Da Gama Pires, Elias Tsakanikos, Daniel Hayes, Siobhan Renshaw, Sarah McAllister, Vishal Bhavsar, Pam Patterson, Emily Daley, Jane Stewart, Megan Pritchard, Hitesh Shetty, Rosalind Ramsay, Rocio Perez-Iglesias, Philip McGuire
We report on the first open-label, parallel group randomised controlled trial of automated appointment reminders in a psychosis community service in the UK. Ninety-five patients were randomly allocated to receiving/not receiving automated messaging reminders 7 days and 1 day before appointments. All 'Attended' and 'Missed' appointment outcomes over 6 months were analysed using cluster regression analysis. Reminded appointments were significantly more frequently attended than non-reminded appointments (unadjusted odds ratio (OR) = 3...
January 2018: BJPsych Open
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