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Irish Journal of Medical Science (1971 -)

, Volume 187, Issue 2, pp 525–528 | Cite as

Non-attendance of vulnerable populations within epilepsy outpatient services in Ireland

Original Article

Abstract

Background

Outpatient non-attendance is a prevalent issue that contributes to significant wasted clinical resources and can be influenced by a number of complex factors.

Aims

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.

Methods

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.

Results

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.

Conclusions

This study provided evidence that in certain groups of patients, clinicians may need to explore other care delivery models due to high DNA rates.

Keywords

DNA rates Epilepsy Outpatients Vulnerable patient populations 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Royal Academy of Medicine in Ireland 2017

Authors and Affiliations

  1. 1.Department of NeuroscienceBrandeis UniversityWalthamUSA
  2. 2.Department of NeurologySt.James’s HospitalDublinIreland
  3. 3.Academic Center for Neurology, Trinity Biomedical Science InstituteTrinity CollegeDublinIreland

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