Potential impact of text message reminders on non-attendance at outpatient clinics
Non-attendance at outpatient clinic leads to significant time wasting and inefficient use of resources.
To establish the magnitude of the problem of clinic non-attendance and to ascertain the potential impact of a simple strategy to reduce inefficiency in Irish healthcare.
The number of patients due to attend general surgical clinic in a single year was ascertained. Telephone questionnaire of 97 patients who failed to attend was performed. A survey of potential impact of text message reminder was conducted.
Appointments were sent to 18,362 patients. Of these, 31% (n = 5692) were new to clinic. The rate of non-attendance was 16.8% (n = 3085). Varied reasons were given for non-attendance. Text message reminder would encourage 51% of those surveyed to attend or cancel in advance.
The rate of non-attendance is 17%. A reminder would eradicate more than half of non-attendance, allowing significantly more new patients to be seen, translating to more efficient use of clinic time.
- Cawley ME, Stevens FM (1987) Non-attendance at outpatient clinics at the Regional Hospital, Galway, Ireland. Soc Sci Med 25(11):1189–1196. doi:10.1016/0277-9536(87)90365-0 CrossRef
- Casey RG, Quinlan MR, Flynn R, Grainger R, Mc Dermott T, Thornhill JA (2007) Urology out-patient non-attenders are we wasting our time? Ir J Med Sci 176(4):305–308. doi:10.1007/s11845-007-0028-8 CrossRef
- Ramakrishnan SA, Murphy E, Barry M (2004) Non-attendance at clinics: a waste of resources. Ir J Med Sci 173(3):172 CrossRef
- Murdock A, Rodgers C, Lindsay H, Tham TC (2002) Why do patients not keep their appointments? Prospective study at a gastroenterology outpatient clinic. J R Soc Med 95:284–286. doi:10.1258/jrsm.95.6.284 CrossRef
- Stone CA, Palmer JH, Saxby PJ, Deveraj VS (1999) Reducing non attendance at outpatients. J R Soc Med 92(3):114–118
- Komoroski EM, Graham CJ, Kirby RS (1996) A comparison of interventions to improve clinic follow-up compliance after a paediatric emergency department visit. Paediatr Emerg Care 12:87–90 CrossRef
- Sharp DJ, Hamilton DW (2001) Non-attendance at general practices and out-patient clinics. BMJ 323:1081–1082. doi:10.1136/bmj.323.7321.1081 CrossRef
- Lee CS, Mc Cormick PA (2003) Telephone reminders to reduce non-attendance rates for endoscopy. J R Soc Med 96:547–548. doi:10.1258/jrsm.96.11.547 CrossRef
- Hardy KJ, O’Brien SV, Furlong NJ (2001) Information given to patients before appointments and its effect on non-attendance rate. BMJ 323:1298–1300. doi:10.1136/bmj.323.7324.1298 CrossRef
- Huang F, Liu SC, Shih SM et al. (2006) Reducing the anxiety of surgical patient’s families access short message service. AMIA Annu Symp Proc 2006:957
- Kim HS, Jeong HS (2007) A nurse short message service by cellular phone in type 2 diabetic patients for six months. J Clin Nurs 10(6):1082–1087. doi:10.1111/j.1365-2702.2007.01698.x CrossRef
- Menon-Johansson AS, McNaught F, Mandelia S, Sullivan AK (2006) Texting decreases the time to treatment for genital Chlamydia trachomatis infection. Sex Transm Infect 82(1):49–51. doi:10.1136/sti.2004.014381 CrossRef
- Potential impact of text message reminders on non-attendance at outpatient clinics
Irish Journal of Medical Science
Volume 177, Issue 4 , pp 355-358
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- Non-attendance at surgical clinic
- Reduction of waiting times
- Text message reminder
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