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Which patients miss appointments with general practice and why? A systematic review

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Parsons, Joanne, Bryce, Carol and Atherton, Helen (2021) Which patients miss appointments with general practice and why? A systematic review. British Journal of General Practice, 2020 . 1017. doi:10.3399/BJGP.2020.1017 ISSN 0960-1643.

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Official URL: http://dx.doi.org/10.3399/BJGP.2020.1017

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Abstract

Background: Missed GP appointments have considerable time and cost implications for healthcare services. Aim: This systematic review aims to explore the rate of missed primary care appointments, what the reported reasons are for appointments being missed, and which patients are more likely to miss appointments. Design: This study reports the findings of a systematic review. Setting: Included studies report the rate or reasons of missed appointments in a primary care setting. Method: Databases were searched using a pre-defined search strategy. Eligible studies were selected for inclusion based on detailed inclusion criteria through title, abstract and full text screening. Quality was assessed on all included studies, and findings were synthesised to answer the research questions. Results: A total of 26 studies met the inclusion criteria for inclusion in the review. Of these, 19 reported a rate of missed appointments, with a mean rate of 15.2% and a median of 12.9% appointments being missed. Twelve studies reported a reason appointments were missed, with work or family commitments, forgetting the appointment and transportation difficulties were most commonly reported. 20 studies reported characteristics of people likely to miss appointments. Patients who were likely to miss appointments were those from minority ethnicity, low socio-demographic status and younger patients. Conclusions: Findings from this review have potential implications for targeted interventions to address missed appointments in primary care. This is the first step for clinicians being able to target interventions to reduce the rate of missed appointments.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Physicians (General practice) , Primary care (Medicine) , Medical appointments and schedules , Patients -- Attitudes
Journal or Publication Title: British Journal of General Practice
Publisher: Royal College of General Practitioners
ISSN: 0960-1643
Official Date: 18 February 2021
Dates:
DateEvent
18 February 2021Published
3 February 2021Accepted
Volume: 2020
Article Number: 1017
DOI: 10.3399/BJGP.2020.1017
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Copyright Holders: Copyright © 2021, The Authors
Date of first compliant deposit: 23 February 2021
Date of first compliant Open Access: 23 February 2021

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