Non-attendance of vulnerable populations within epilepsy outpatient services in Ireland
Outpatient non-attendance is a prevalent issue that contributes to significant wasted clinical resources and can be influenced by a number of complex factors.
The aim of this study is to characterize “did not attend” (DNA) rates in three identified subpopulations of epilepsy patients to determine if current care provision models suffice.
In this study, we identified all patients residing in social housing, in residential care, and those incarcerated who have been offered appointments by our service. We calculated the total number of appointments issued to each group over their entire interaction with our service and their subsequent non-attendance rate as a group. Additionally, we calculated the baseline DNA rate for our epilepsy clinic as a whole for comparison.
We found that the baseline DNA rate for the clinic as a whole was 18.9%. Those in social housing, in residential care, and incarcerated had significantly higher DNA rates of 24, 20.2, and 54.3%, respectively.
This study provided evidence that in certain groups of patients, clinicians may need to explore other care delivery models due to high DNA rates.
KeywordsDNA rates Epilepsy Outpatients Vulnerable patient populations
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 1.Executive HS (2015) Community healthcare data report: April 2015: Health Service Executive (HSE). http://www.hse.ie/eng/services/publications/performancereports/datareportapril15.pdf. Accessed 16 July 2016
- 2.Scotland NH. Who is least likely to attend? An analysis of outpatient appointment “Did Not Attend” (DNA) data in Scotland. http://www.healthscotland.scot/publications/who-is-least-likely-to-attend-an-analysis-of-outpatient-appointment-did-not-attend-dna-data-in-scotland. Accessed 16 July 2016
- 7.Baron R, Mannien J, te Velde SJ et al (2015) Socio-demographic inequalities across a range of health status indicators and health behaviours among pregnant women in prenatal primary care: a cross-sectional study. BMC Pregnancy Childbirth 15:261. https://doi.org/10.1186/s12884-015-0676-z CrossRefPubMedPubMedCentralGoogle Scholar
- 10.Nielsen KM, Faergeman O, Foldspang A et al (2008) Cardiac rehabilitation: health characteristics and socio-economic status among those who do not attend. Eur J Public Health 2008;18:479–483. https://doi.org/10.1093/eurpub/ckn060
- 19.White M, Fitzsimons M, Banguiran J et al (2015) Changing the way epilepsy care is delivered- audit of a multidisciplinary epilepsy outreach clinic in an intellectual disability facility supported by the electronic patient record. In: Poster presentation at the international epilepsy congress TurkeyGoogle Scholar