Non-Attendance at the Colorectal Clinic: A Prospective Audit
- 1 July 2008
- journal article
- Published by Royal College of Surgeons of England in The Annals of The Royal College of Surgeons of England
- Vol. 90 (5), 377-380
- https://doi.org/10.1308/003588408x301172
Abstract
INTRODUCTION: Non-attendance in the out-patient department has financial costs for the NHS and clinical implications to the non-attender and those awaiting an appointment. The aim of this audit was to quantify the percentage of non-attenders at colorectal clinics in a UK teaching hospital, assess which factors affected attendance, establish why individuals fail to attend and to implement appropriate change. PATIENTS AND METHODS: The number of ‘did-not-attend’ patients was recorded initially for 686 appointments. Non-attenders were contacted by post or telephone to ask why this was so. The study was then repeated following telephone reminders to 391 patients due to attend clinic. The ‘did-not-attend’ rates in the two limbs of the completed audit cycle were then compared. RESULTS: The initial study revealed a ‘did-not-attend’ rate of 21%, with significantly more males than females failing to attend (males, 28.6%; females, 16.9%; P = 0.001). The ‘did-not-attend’ rate was not significantly affected by the day of the week, time of appointment or by the weather. There were 51.7% responses to either the postal or telephone questionnaire regarding non-attendance. Of these, 27.7% did not receive an appointment letter or received it after the appointment. Hospital administration problems were cited as accounting for 34.2% of ‘did-not-attends’. In the post-intervention limb, 87 patients (22%) replied to the reminder telephone call, of whom 9 (10%) cancelled their appointment and 78 (90%) confirmed that they would attend. The ‘did-not-attend’ rate fell to 19.7% although this was not a significant reduction. CONCLUSIONS: Telephoning patients before their appointments is labour intensive and did not significantly improve the ‘didnot-attend’ rate. Although hospital administration errors account for a significant number of the ‘did-not-attends’, patients also have a responsibility to notify the hospital if they are unable to attend.Keywords
This publication has 8 references indexed in Scilit:
- The use of postal reminders to reduce non-attendance at an orthodontic clinic: A randomised controlled trialBritish Dental Journal, 2003
- Patient, hospital, and general practitioner characteristics associated with non-attendance: a cohort study.2002
- Outpatients. A pretty little sum.2001
- A telephone call reminder to improve outpatient attendance in patients referred from the emergency department: a randomised controlled trialAustralian and New Zealand Journal of Medicine, 2000
- A completed audit to reduce hospital outpatients non-attendance ratesArchives of Disease in Childhood, 2000
- WHY DO OUTPATIENTS FAIL TO KEEP THEIR CLINIC APPOINTMENTS? RESULTS FROM A SURVEY AND RECOMMENDED REMEDIAL ACTIONSInternational Journal of Clinical Practice, 1998
- Why do patients default from follow-up at a genitourinary clinic?: a multivariate analysis.Sexually Transmitted Infections, 1995
- Why 100 Patients Failed to Keep an Outpatient Appointment — Audit in a Dermatology DepartmentJournal of the Royal Society of Medicine, 1992