Understanding repeated non-attendance in health services: a pilot analysis of administrative data and full study protocol for a national retrospective cohort

Andrea Williamson, D. A. Ellis, Philip Wilson, Ross McQueenie, Alex McConnachie

Research output: Contribution to journalArticle

10 Citations (Scopus)
4 Downloads (Pure)

Abstract

Introduction Understanding the causes of low engagement in healthcare is a pre-requisite for improving health services’ contribution to tackling health inequalities. Low engagement includes missing healthcare appointments. Serially (having a pattern of) missing general practice (GP) appointments may provide a risk marker for vulnerability and poorer health outcomes.

Methods and analysis A proof of concept pilot using GP appointment data and a focus group with GPs informed the development of missed appointment categories: patients can be classified based on the number of appointments missed each year. The full study, using a retrospective cohort design, will link routine health service and education data to determine the relationship between GP appointment attendance, health outcomes, healthcare usage, preventive health activity and social circumstances taking a life course approach and using data from the whole journey in the National Health Service (NHS) healthcare. 172 practices will be recruited (∼900 000 patients) across Scotland. The statistical analysis will focus on 2 key areas: factors that predict patients who serially miss appointments, and serial missed appointments as a predictor of future patient outcomes. Regression models will help understand how missed appointment patterns are associated with patient and practice characteristics. We shall identify key factors associated with serial missed appointments and potential interactions that might predict them.

Ethics and dissemination The results of the project will inform debates concerning how best to reduce non-attendance and increase patient engagement within healthcare systems. Significant non-academic beneficiaries include governments, policymakers and medical practitioners. Results will be disseminated via a combination of academic outputs (papers, conferences), social media and through collaborative public health/policy fora.
Original languageEnglish
Article numbere014120
JournalBMJ Open
Volume7
DOIs
Publication statusPublished - 14 Feb 2017

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Health Services
Appointments and Schedules
Delivery of Health Care
General Practice
Health
Social Media
Patient Participation
National Health Programs
Scotland
Public Policy
Health Policy
Focus Groups
Health Education
Ethics
Public Health

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Understanding repeated non-attendance in health services : a pilot analysis of administrative data and full study protocol for a national retrospective cohort. / Williamson, Andrea; Ellis, D. A.; Wilson, Philip; McQueenie, Ross; McConnachie, Alex.

In: BMJ Open, Vol. 7, e014120, 14.02.2017.

Research output: Contribution to journalArticle

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