Article

A Comparative Survey of Missed Initial and Follow-Up Appointments to Psychiatric Specialties in the United Kingdom

Department of Liaison Psychiatry, Leicester General Hospital, UK.
Psychiatric Services (Impact Factor: 2.41). 07/2007; 58(6):868-71. DOI: 10.1176/appi.ps.58.6.868
Source: PubMed

ABSTRACT

Missed appointments are common in psychiatry. Nonattendance at the initial appointment may have different prognostic significance than nonattendance at subsequent appointments. This study examined the frequency of missed appointments among 9,511 initial outpatient appointments and 7,700 follow-up appointments across ten psychiatric subspecialties in a publicly funded mental health service in the United Kingdom.
The pooled missed appointment rate was 15.9%, higher than in previous studies on primary and secondary care attendance in the United Kingdom. Nonattendance was lowest on Fridays, in winter months, and in geriatric psychiatry and highest for substance abuse services and in community psychiatry. In most services, attendance improved after the initial appointment, but in psychosomatic medicine and geriatric psychiatry this pattern was reversed.
There was a low rate of missed appointments in geriatric psychiatry, rehabilitation psychiatry, cognitive-behavioral therapy, and psychosocial medicine. A high nonattendance rate was found among persons with drug and alcohol difficulties and to a lesser extent in general adult psychiatry. Future studies should consider initial and follow-up appointments as distinct.

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    • "Missed patient appointments at university psychiatry clinics have been a major source of financial concern given the wasted time of faculty and resources (Peters & Bayer, 1999). There has been a plethora of recent studies that recommend ways to increase appointment attendance (Basem & Alapont, 1993; Cruz et al., 2013; Killaspy, Banerjee, King, & Lloyd, 2000; Lister & Scott, 1988; McNeil, Gormley, & Binder, 2013; Mitchell & Selmes, 2007a, 2007b; Murphy, Mansell, & Craven, 2014; Paige & Mansell, 2013; Paolilio & Moore, 1984; Peters & Bayer, 1999; Shoffner, Staudt, Marcus, & Kapp, 2007; Sims, Sanghara, Hayes, Wandiembe, & Finch, 2012; Sparr et al., "
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    Preview · Article · Jan 2016 · SAGE Open
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    • "Therefore it may be speculated that prior physiatrists referred the cases who already have attended the clinical visits regularly. Various factors including an ethnic minority, lower socioeconomic status, lack of health insurance, low educational status, unemployment, single, a personality disorder or a substance use disorder have been associated with dropout (Mitchell and Selmes, 2007; Olfson et al., 2009). Additionally, not taking psychotropic medications, younger age and poor family support have been causative factors for nonattendance (Kruse et al., 2002). "
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