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DNAs and DNCTs — Why Do Patients Fail to Begin or to Complete a Course of Physiotherapy Treatment?

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      Summary

      This study investigated the problem of non-attendance in a physiotherapy department. It was found that in the year studied 7.9% of patients for whom appointments were made did not attend at all (DNAs) and a further 14.3% of those who did attend did not complete their course of treatment (DNCTs).
      A literature survey revealed no papers discussing this problem within a physiotherapy department. Literature discussing this problem within other hospital out-patient departments showed that age groups and non-receipt of appointments were the most likely reasons for non-attendance.
      Questionnaires were sent to random selections of DNAs and DNCTs in an attempt to uncover the reasons for this.
      While 11 out of the 34 DNAs and 16 out of the 28 DNCTs responding gave reasons similar to those found in other medical surveys, 12 DNAs said that they did not receive the appointment.

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      References

        • Barron WM
        ‘Failed appointments, who misses them, why are they missed and what can be done?’.
        Primary Care. 1980; 7: 563-574
        • Bigby JA
        • Pappius E
        • Cook EF
        • Goodman L
        ‘Medical consequences of missed appointments’.
        Archives of Internal Medicine. 1984; 144: 1163-1166
        • Cook D
        • Morch J
        • Noble E
        ‘Patient attendance at hospital clinics’.
        Dimensions in Health Service. 1976; : 28-29
        • Deitch R
        ‘Commentary from Westminster’.
        Lancet. 1984; : 1419
        • Dove H
        • Schneider K
        ‘The usefulness of patients' individual characteristics in predicting no-shows in out-patient clinics’.
        Medical Care. 1981; 19: 734-740
        • Frankel S
        • Farrow A
        • West R
        ‘Non-attendance or non-invitation? A case-control study of failed out-patient appointments’.
        British Medical Journal. 1989; 298: 1343-1345
        • Goldman L
        • Freidin R
        • Cook EF
        • Eigner J
        • Grich P
        ‘Multivariate approach to the prediction of no-show behaviour in a primary care center’.
        Archives of Internal Medicine. 1982; 142: 563-567
        • Grimes D
        ‘The cost of broken NHS appointments’.
        Lancet. 1984; (a letter): 102
        • Irwin CE
        • Millstein SG
        • Shafer MB
        ‘Appointment-keeping behaviour in adolescents’.
        Journal of Paediatrics. 1981; 99: 799-802
        • Leese AM
        • Wilson JA
        • Murray JAM
        ‘A survey of the non-attendance rate at the ENT clinic of a district general hospital’.
        Clinical Otolaryngology. 1986; 11: 37-40
        • McEwen J
        • King E
        • Bickler G
        ‘Attendance and non-attendance for breast screening at the south east London breast screening service’.
        British Medical Journal. 1989; 299: 104-106
        • Morse DL
        • Coulter MP
        • Napodano RJ
        • Hwang Ho-L
        • Lawrence C
        ‘Broken appointments at a neighbourhood health centre: Emphasis on weather’.
        Medical Care. 1984; 22: 813-817
        • Rice JM
        • Lutzker JR
        ‘Reducing non-compliance to follow-up appointment-keeping at a family practice center’.
        Journal of Applied Behaviour Analysis. 1984; 17: 303-311
        • Vikander T
        • Parnicky K
        • Demers R
        • Frisof K
        • Demers P
        • Chase N
        ‘New-patient no-shows in an urban family practice center: Analysis and intervention’.
        Journal of Family Practice. 1976; 22: 263-268
        • Warlow CP
        ‘Out-patient appointments’.
        Lancet. 1984; 2 (a letter): 164-165

      Biography

      Biography: Mrs Vasey qualified in Sheffield in 1970 and worked in various hospitals until 1975. She returned to work in 1984 and is now a senior physiotherapist at Doncaster Royal Infirmary in out-patients and the community with responsibility for research. The work on patients failing to receive treatment arose out of research into effectiveness and outcomes and the realisation that patients who do not attend are important in assessing outcomes.