Document Detail


Why do cardiology out-patient appointments fail in Saudi Arabia?
MedLine Citation:
PMID:  1489966     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a retrospective study, 534 appointments for a cardiology clinic were analysed to determine the frequency of no-show and to identify contributory factors. The overall rate of no-show was 30.1%, which is higher than the 18% and 20% reported from other teaching hospitals. Variables with the strongest univariate association with no-show were nationality (Saudi 35%, non-Saudi 22%; p = 0.0015), gender (males 34%, females 25%; p = 0.03), heart failure (present 44%, absent 27.9%; p = 0.005) and valvular heart disease (present 23.4%, absent 32.6%; p = 0.04). Turning to a stepwise logistic regression to predict no-show behaviour, we found that nationality, gender and heart failure were significant, while valvular heart disease was not. We conclude by recommending that physicians and mass media should share in the responsibility of stressing the importance of keeping out-patient department (OPD) appointments to all patients especially those who are more prone to no-show behaviour, namely male nationals. Telephone and mailed reminders have been used successfully to improve attendance at the OPD, and can be evaluated in our community.
Authors:
A al-Khadra; G Magbool; L Wosornu; S al-Awdah; H Qutub; R al-Khatib
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Quality assurance in health care : the official journal of the International Society for Quality Assurance in Health Care / ISQA     Volume:  4     ISSN:  1040-6166     ISO Abbreviation:  Qual Assur Health Care     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-02-26     Completed Date:  1993-02-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9001007     Medline TA:  Qual Assur Health Care     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  305-10     Citation Subset:  IM    
Affiliation:
King Faisal University, College of Medicine and Medical Sciences, Dammam, Saudi Arabia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Appointments and Schedules*
Cardiology Service, Hospital / statistics & numerical data,  utilization*
Child
Female
Heart Diseases*
Humans
Logistic Models
Male
Middle Aged
Outpatient Clinics, Hospital / statistics & numerical data,  utilization*
Patient Acceptance of Health Care / ethnology,  statistics & numerical data*
Retrospective Studies
Saudi Arabia
Sex Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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