A comparative survey of missed initial and follow-up appointments to psychiatric specialties in the United Kingdom

MITCHELL, Alex J ; SELMES, Thomas

In: Psychiatric services (Washington, D.C.), Jg. 58 (2007), Heft 6, S. 868-871

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Objective: 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. Results: 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. Conclusions: 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.

Titel:	A comparative survey of missed initial and follow-up appointments to psychiatric specialties in the United Kingdom
Autor/in / Beteiligte Person:	MITCHELL, Alex J ; SELMES, Thomas
Link:	Full Text Finder (Volltext) http://pascal-francis.inist.fr/vibad/index.php?action=search&terms=18842979
Zeitschrift:	Psychiatric services (Washington, D.C.), Jg. 58 (2007), Heft 6, S. 868-871
Veröffentlichung:	Washington, DC: American Psychiatric Association, 2007
Medientyp:	academicJournal
Umfang:	print; 4; 15 ref
ISSN:	1075-2730 (print)
Schlagwort:	Europe Royaume Uni Enquête Survey Encuesta Etude comparative Comparative study Estudio comparativo Etude longitudinale Follow up study Estudio longitudinal Hôpital psychiatrique Psychiatric hospital Hospital psiquiátrico Psychiatrie Psychiatry Psiquiatría Psychopathologie Psychopathology Psicopatología Santé mentale Mental health Salud mental Santé publique Public health Salud pública Service hospitalier Hospital ward Servicio hospitalario Surveillance Vigilancia Suivi malade Patient follow-up Seguimiento del paciente Sciences biologiques et medicales Biological and medical sciences Sciences medicales Medical sciences Psychopathologie. Psychiatrie Psychopathology. Psychiatry Psychiatrie sociale. Ethnopsychiatrie Social psychiatry. Ethnopsychiatry Sante publique. Hygiene-medecine du travail Public health. Hygiene-occupational medicine Santé publique. Hygiène Public health. Hygiene Divers Miscellaneous Psychologie. Psychanalyse. Psychiatrie Psychology. Psychoanalysis. Psychiatry PSYCHOPATHOLOGIE. PSYCHIATRIE Hygiene and public health, epidemiology, occupational medicine Hygiène et santé publique, épidémiologie, médecine du travail Psychology, psychopathology, psychiatry Psychologie, psychopathologie, psychiatrie Subject Geographic: Europe Royaume Uni
Sonstiges:	Nachgewiesen in: FRANCIS Archive Sprachen: English Original Material: INIST-CNRS Document Type: Article File Description: text Language: English Author Affiliations: Brandon Unit, Department of Liaison Psychiatry, Leicester General Hospital, Leicester, Leicestershire LE4 5PW, United Kingdom ; Bootham Park Hospital, York, United Kingdom Rights: Copyright 2007 INIST-CNRS ; CC BY 4.0 ; Sauf mention contraire ci-dessus, le contenu de cette notice bibliographique peut être utilisé dans le cadre d’une licence CC BY 4.0 Inist-CNRS / Unless otherwise stated above, the content of this bibliographic record may be used under a CC BY 4.0 licence by Inist-CNRS / A menos que se haya señalado antes, el contenido de este registro bibliográfico puede ser utilizado al amparo de una licencia CC BY 4.0 Inist-CNRS

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