Urology out-patient non-attenders: are we wasting our time?

Ir J Med Sci. 2007 Dec;176(4):305-8. doi: 10.1007/s11845-007-0028-8. Epub 2007 Apr 24.

Abstract

Background: Out-patient non-attendance leads to inefficiency and patient morbidity.

Aims and methods: A phone survey of urology out-patient non-attenders over 1-month was performed to determine reasons for non-attendance, to identify patients who could be discharged, and the manner in which patients want reminders.

Results: Seventy-six non-attenders were contacted. Fourteen were GP referred new patients. The reason for non-attendance (n = 10) was due to patient issues. Of the patients due for review (n = 62), it was a first non-attendance in 56. Only 41 (66%) claimed to have received notification or appointment cards. Eight patients said they were written to and 13 (21%) denied either receiving a written notification or an appointment card. Only eight patients rang to confirm/change their appointment. Ninety-nine percent said that they would like a further appointment by text message (34%), phone (37%), letter (36%) or email (6%).

Conclusions: We now hope to implement a number of methods to further reduce non-attendance rates based on the findings in this study.

MeSH terms

  • Adult
  • Aged
  • Appointments and Schedules*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Incidence
  • Ireland
  • Male
  • Middle Aged
  • Outpatient Clinics, Hospital / statistics & numerical data*
  • Patient Acceptance of Health Care
  • Patient Compliance / statistics & numerical data*
  • Patient Dropouts / statistics & numerical data*
  • Prospective Studies
  • Referral and Consultation
  • Reminder Systems*
  • Risk Assessment
  • Surveys and Questionnaires
  • Treatment Refusal / statistics & numerical data
  • Urologic Diseases / therapy
  • Urology