Abstract
To determine the extent of non-attendance at first hospital appointments 269 hospital referrals made in one practice over 14 weeks were analysed retrospectively. Non-attendance was more likely among patients referred to outpatient departments than to casualty or for admission. Fifteen per cent (41/269) of all patients and 20% (33/167) of outpatients failed to keep their initial appointments. Prolonged waiting times from referral to appointment were significantly related to non-attendance. Twenty weeks after the last referral had been made no communication had been received by the practice for 24% (61/252) of all referral letters received by the hospital. Minimum delays to appointments and improved communication between hospitals and general practitioners would help general practitioners to make appropriate referrals and improve compliance.
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Selected References
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- 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]
- Davies P. Why don't patients turn up? Health Soc Serv J. 1984 Jul 26;94(4907):886–887. [PubMed] [Google Scholar]
- Grace J. F., Armstrong D. Reasons for referral to hospital: extent of agreement between the perceptions of patients, general practitioners and consultants. Fam Pract. 1986 Sep;3(3):143–147. doi: 10.1093/fampra/3.3.143. [DOI] [PubMed] [Google Scholar]
- Grace J. F., Armstrong D. Referral to hospital: perceptions of patients, general practitioners and consultants about necessity and suitability of referral. Fam Pract. 1987 Sep;4(3):170–175. doi: 10.1093/fampra/4.3.170. [DOI] [PubMed] [Google Scholar]
- 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]
- Rashid A. Do patients cash prescriptions? Br Med J (Clin Res Ed) 1982 Jan 2;284(6308):24–26. doi: 10.1136/bmj.284.6308.24. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sandler D. A., Mitchell J. R. Interim discharge summaries: how are they best delivered to general practitioners? Br Med J (Clin Res Ed) 1987 Dec 12;295(6612):1523–1525. doi: 10.1136/bmj.295.6612.1523. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilkin D., Smith A. G. Variation in general practitioners' referral rates to consultants. J R Coll Gen Pract. 1987 Aug;37(301):350–353. [PMC free article] [PubMed] [Google Scholar]
- Wilkin D., Smith A. Explaining variation in general practitioner referrals to hospital. Fam Pract. 1987 Sep;4(3):160–169. doi: 10.1093/fampra/4.3.160. [DOI] [PubMed] [Google Scholar]