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Appointment non-attendance

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: Utilization of GI endoscopy is historically lower in non-white 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 (VA) 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
H J A Van Ruiten, C Marini Bettolo, T Cheetham, M Eagle, H Lochmuller, V Straub, K Bushby, M Guglieri
INTRODUCTION: Duchenne muscular dystrophy (DMD) is the most common inherited muscle disease in children. Recent years have seen an increase in age of survival into adulthood following the introduction of proactive standards of care. We reviewed mortality in DMD in our population in order to identify potential underlying risk factors for premature death and improve clinical care. METHOD: A retrospective case note review of all deaths in the DMD population over the last 10 years in North East England...
November 2016: European Journal of Paediatric Neurology: EJPN
Belinda Cochrane, Jann Foster, Robert Boyd, Evan Atlantis
BACKGROUND: Chronic obstructive pulmonary disease (COPD) is considered a multisystem disease, in which comorbidities feature prominently. COPD guidelines recommend holistic assessment and management of relevant comorbid diseases but there is limited information as to how this is best achieved. This pilot study aimed to explore the views of stakeholders, including patients and the healthcare team, on the feasibility, acceptability and barriers to a collaborative, multidisciplinary team-based care intervention ('TEAMcare') to improve health outcomes in COPD patients, within the context of a local hospital outpatient clinic...
2016: BMC Health Services Research
Jonathan E Mayer, Paul Fontelo
For the treatment of HIV, compliance in regard to appointment attendance and medication usage is critical. Various methods have been attempted to increased HIV care compliance, and a method that has inspired many published studies is text message reminders. We conducted a meta-analysis of the literature from inception through May 2016 using the following databases: Pubmed, Embase, CINAHL, Web of Science, and Cochrane. Examples of terms used in the search included exploded versions of "HIV, "AIDS", "cell phone", "SMS", "text message", "reminder"...
August 1, 2016: AIDS Care
Lilian Rigo, Jaqueline Dalazen, Raíssa Rigo Garbin
OBJECTIVE: To analyze the perception of mothers about oral health of their children, as well as to check the influence of demographic variables, perception and preventive practice in oral health of mothers regarding guidance received during pregnancy. METHODS: Quantitative and cross-sectional field study, with a non-probability sample formed by all mothers who attended the primary healthcare unit of Ijuí (RS), Brazil, from January to July 2014, comprising a sample of 79 women...
April 2016: Einstein
Sandeep Tandon, Reena Duhan, Meenakshi Sharma, Suraj Vasudeva
INTRODUCTION: Missed appointments are an issue which have been very commonly noticed but overlooked in Indian dental society. Almost every dentist, general or specialized, private or public, has faced this problem in routine practice but very less research has been conducted on this issue in Asian countries. AIM: The aim of this study was to determine the frequency and distribution of missed dental appointments among children and the reasons behind the non-attendance in department of paediatric and preventive dentistry...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
Christina Mtuya, Charles R Cleland, Heiko Philippin, Kidayi Paulo, Bernard Njau, William U Makupa, Claudette Hall, Anthony Hall, Paul Courtright, Declare Mushi
BACKGROUND: Diabetes is an emerging public health problem in sub-Saharan Africa. Diabetic retinopathy is the commonest microvascular complication of diabetes and is a leading cause of blindness, mainly in adults of working age. Follow-up is crucial to the effective management of diabetic retinopathy, however, follow-up rates are often poor in sub-Saharan Africa. The aim of this study was to assess the proportion of patients not presenting for follow-up and the reasons for poor follow-up of diabetic patients after screening for retinopathy in Kilimanjaro Region of Tanzania...
2016: BMC Ophthalmology
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