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Journal of the Royal Society of Medicine logoLink to Journal of the Royal Society of Medicine
. 1991 Nov;84(11):662–663. doi: 10.1177/014107689108401112

Can outpatient non-attendance be predicted from the referral letter? An audit of default at neurology clinics.

W Dickey 1, J I Morrow 1
PMCID: PMC1295469  PMID: 1744872

Abstract

Data obtained from new patient referral letters to regional and peripheral neurology clinics were studied prospectively over a 6-month period in an attempt to determine factors predicting non-attendance. Attendance at peripheral clinics was significantly better, confirming their value. At regional clinics, factors associated with non-attendance were male sex, patient age less than 50 years, urban home address, referral from Accident and Emergency Departments, symptom duration less than 12 months, and wait for appointment more than 2 months. Of these, referral source and waiting time were identified as factors which could be modified, confirming that this analysis of referral letters was a useful exercise.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Carpenter P. J., Morrow G. R., Del Gaudio A. C., Ritzler B. A. Who keeps the first outpatient appointment? Am J Psychiatry. 1981 Jan;138(1):102–105. doi: 10.1176/ajp.138.1.102. [DOI] [PubMed] [Google Scholar]
  2. Frankel S., Farrow A., West R. Non-attendance or non-invitation? A case-control study of failed outpatient appointments. BMJ. 1989 May 20;298(6684):1343–1345. doi: 10.1136/bmj.298.6684.1343. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Leese A. M., Wilson J. A., Murray J. A. A survey of the non-attendance rate at the ENT clinic of a district general hospital. Clin Otolaryngol Allied Sci. 1986 Feb;11(1):37–40. doi: 10.1111/j.1365-2273.1986.tb00104.x. [DOI] [PubMed] [Google Scholar]
  4. Robin A. Rationing out-patients: a defence of the waiting list. Br J Psychiatry. 1976 Aug;129:138–141. doi: 10.1192/bjp.129.2.138. [DOI] [PubMed] [Google Scholar]
  5. Scobie I. N., Rafferty A. B., Franks P. C., Sönksen P. H. Why patients were lost from follow-up at an urban diabetic clinic. Br Med J (Clin Res Ed) 1983 Jan 15;286(6360):189–190. doi: 10.1136/bmj.286.6360.189-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Smith E. O., Curb J. D., Hardy R. J., Hawkins C. M., Tyroler H. A. Clinic attendance in the hypertension detection and follow-up program. Hypertension. 1982 Sep-Oct;4(5):710–715. doi: 10.1161/01.hyp.4.5.710. [DOI] [PubMed] [Google Scholar]

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