Out-patient management and non-attendance in the current economic climate. How best to manage our resources?

Hdl Handle:
http://hdl.handle.net/10147/125874
Title:
Out-patient management and non-attendance in the current economic climate. How best to manage our resources?
Authors:
Hennessy, D; Connolly, S; Lennon, G; Quinlan, D; Mulvin, D
Affiliation:
Institute of Molecular Medicine, Trinity Centre, St James Hospital, James's St, Dublin 8. derek.hennessey@gmail.com
Citation:
Out-patient management and non-attendance in the current economic climate. How best to manage our resources? 2010, 103 (3):80-2 Ir Med J
Journal:
Irish medical journal
Issue Date:
Mar-2010
URI:
http://hdl.handle.net/10147/125874
PubMed ID:
20666071
Abstract:
Outpatient non-attendance is a considerable source of inefficiency in the health service, wasting time, resources and potentially lengthening waiting lists, Given the current economic climate, methods need to be employed to reduce non-attendance. The aim was to analyse outpatient non-attendance and determine what factors influence attendance. A prospective audit over a two-month period to a tertiary-referral Urological service was performed to determine the clinical and demographic profile of non-attendees. Of 737 appointments, 148 (20%) patients did not attend (DNA). A benign urological condition was evident in 116 cases (78%). This group of patients also accounted for the majority of new patients not attending 40/47, returning patients not attending 101/148 and the majority of patients who missed multiple appointments 43/49. Patients with benign conditions make up the majority of clinic non-attendance. Consideration may be given to discharging such patients back to their general practitioner after one unexplained non-attendance until other alternatives of follow up are available.
Item Type:
Article
Language:
en
MeSH:
Appointments and Schedules; Efficiency, Organizational; Female; Humans; Male; Middle Aged; Outpatient Clinics, Hospital; Outpatients; Prospective Studies; Resource Allocation; Treatment Refusal
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorHennessy, Den
dc.contributor.authorConnolly, Sen
dc.contributor.authorLennon, Gen
dc.contributor.authorQuinlan, Den
dc.contributor.authorMulvin, Den
dc.date.accessioned2011-03-28T14:42:17Z-
dc.date.available2011-03-28T14:42:17Z-
dc.date.issued2010-03-
dc.identifier.citationOut-patient management and non-attendance in the current economic climate. How best to manage our resources? 2010, 103 (3):80-2 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid20666071-
dc.identifier.urihttp://hdl.handle.net/10147/125874-
dc.description.abstractOutpatient non-attendance is a considerable source of inefficiency in the health service, wasting time, resources and potentially lengthening waiting lists, Given the current economic climate, methods need to be employed to reduce non-attendance. The aim was to analyse outpatient non-attendance and determine what factors influence attendance. A prospective audit over a two-month period to a tertiary-referral Urological service was performed to determine the clinical and demographic profile of non-attendees. Of 737 appointments, 148 (20%) patients did not attend (DNA). A benign urological condition was evident in 116 cases (78%). This group of patients also accounted for the majority of new patients not attending 40/47, returning patients not attending 101/148 and the majority of patients who missed multiple appointments 43/49. Patients with benign conditions make up the majority of clinic non-attendance. Consideration may be given to discharging such patients back to their general practitioner after one unexplained non-attendance until other alternatives of follow up are available.-
dc.language.isoenen
dc.subject.meshAppointments and Schedules-
dc.subject.meshEfficiency, Organizational-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshOutpatient Clinics, Hospital-
dc.subject.meshOutpatients-
dc.subject.meshProspective Studies-
dc.subject.meshResource Allocation-
dc.subject.meshTreatment Refusal-
dc.titleOut-patient management and non-attendance in the current economic climate. How best to manage our resources?en
dc.typeArticleen
dc.contributor.departmentInstitute of Molecular Medicine, Trinity Centre, St James Hospital, James's St, Dublin 8. derek.hennessey@gmail.comen
dc.identifier.journalIrish medical journalen

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