BMC Oral Health | |
Appointment attendance at a remote rural dental training facility in Australia | |
Jenny M McDonald1  Ratilal Lalloo2  | |
[1] Griffith Health, Griffith University, Gold Coast, Australia;DOH, Gold Coast campus, Griffith University, Gold Coast 4222, Australia | |
关键词: Rural; Remote; Non-attended appointments; Education; Dental service; Australia; | |
Others : 1125980 DOI : 10.1186/1472-6831-13-36 |
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received in 2013-02-27, accepted in 2013-07-31, 发布年份 2013 | |
【 摘 要 】
Background
Non-attended appointments have impacts on the operations of dental clinics. These impacts vary from lost productivity, loss of income and loss of clinical teaching hours.
Methods
Appointment data were analysed to assess the percentage of completed, failed to attend (FTA) and cancelled appointments at an Australian remote rural student dental clinic training facility. The demographic and time characteristics of FTA and cancelled appointments were analysed using simple and multivariate multinomial regression analysis, to inform interventions that may be necessary.
Results
Over the 2-year study period a total of 3,042 appointments were made. The percentage of FTA was 21.3% (N = 648) and cancelled appointments 13.7% (N = 418). The odds of an FTA were in excess of 4 times higher in patients aged 19–25 years (OR = 4.1; 95% CI = 2.3-7.3) and 26–35 years (OR = 4.4; 95% CI = 2.5-7.9) compared to patients 65 years and older. The odds of an FTA was 2.3 (95% CI = 1.8-3.1) times higher in public patients compared to private patients. The odds of a cancellation was 1.7 (95% CI = 1.1-2.6) times higher on a Friday compared to a Monday and 1.8 (95% CI = 1.1-2.9) times higher on the last appointment of the day compared to the first appointment. For cancelled appointments, 71.3% were cancelled on the day of the appointment and 16.6% on the day before.
Conclusions
Non-attended appointments (FTA or cancelled) were common at this remote rural dental clinic training facility. Efforts to reduce these need to be implemented; including telephonic reminders, educating the community on the importance of attending their appointments, block booking school children and double booking or arranging alternative activities for the students at times when non-attendance is common.
【 授权许可】
2013 Lalloo and McDonald; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150218033951804.pdf | 450KB | download | |
Figure 1. | 29KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Schmalzried HD, Liszak J: A model program to reduce patient failure to keep scheduled medical appointments. J Community Health 2011, 37(3):715-718.
- [2]Levin RP: How to manage the behavior of patients who disregard scheduled appointment times. J Am Dent Assoc 2012, 143(2):172-173.
- [3]Perry JG: A preliminary investigation into the effect of the use of the Short Message Service (SMS) on patient attendance at an NHS Dental Access Centre in Scotland. Prim Dent Care 2011, 18(4):145-149.
- [4]Nelson TM, Berg JH, Bell JF, Leggott PJ, Seminario AL: Assessing the effectiveness of text messages as appointment reminders in a pediatric dental setting. J Am Dent Assoc 2011, 142(4):397-405.
- [5]Foley J, O’Neill M: Use of mobile telephone short message service (SMS) as a reminder: the effect on patient attendance. Eur Arch Paediatr Dent 2009, 10(1):15-18.
- [6]Wang NJ, Aspelund GO: Children who break dental appointments. Eur Arch Paediatr Dent 2009, 10(1):11-14.
- [7]Horsley BP, Lindauer SJ, Shroff B, Tufekci E, Abubaker AO, Fowler CE, Maxfield BJ: Appointment keeping behavior of medicaid vs non-medicaid orthodontic patients. Am J Orthod Dentofacial Orthop 2007, 132(1):49-53.
- [8]George AC, Hoshing A, Joshi NV: A study of the reasons for irregular dental attendance in a private dental college in a rural setup. Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research 2007, 18(2):78-81.
- [9]Awartani F: Broken appointment behavior in a dental school environment. J Contemp Dent Pract 2003, 4(4):100-107.
- [10]Almog DM, Devries JA, Borrelli JA, Kopycka-Kedzierawski DT: The reduction of broken appointment rates through an automated appointment confirmation system. J Dent Educ 2003, 67(9):1016-1022.
- [11]Iben P, Kanellis MJ, Warren J: Appointment-keeping behavior of medicaid-enrolled pediatric dental patients in eastern Iowa. Pediatr Dent 2000, 22(4):325-329.
- [12]Skaret E, Raadal M, Kvale G, Berg E: Missed and cancelled appointments among 12-18-year-olds in the Norwegian public dental service. Eur J Oral Sci 1998, 106(6):1006-1012.
- [13]Albarakati SF: Appointments failure among female patients at a dental school clinic in Saudi Arabia. J Dent Educ 2009, 73(9):1118-1124.
- [14]Dreiher J, Goldbart A, Hershkovich J, Vardy DA, Cohen AD: Factors associated with non-attendance at pediatric allergy clinics. Pediatric Allergy and Immunology: Official Publication of the European Society of Pediatric Allergy and Immunology 2008, 19(6):559-563.
- [15]Chariatte V, Berchtold A, Akre C, Michaud PA, Suris JC: Missed appointments in an outpatient clinic for adolescents, an approach to predict the risk of missing. J Adolesc Health 2008, 43(1):38-45.
- [16]Lehmann TN, Aebi A, Lehmann D, Balandraux Olivet M, Stalder H: Missed appointments at a Swiss university outpatient clinic. Public Health 2007, 121(10):790-799.
- [17]Patel P, Forbes M, Gibson J: The reduction of broken appointments in general dental practice: an audit and intervention approach. Prim Dent Care 2000, 7(4):141-144.
- [18]Reekie D, Devlin H, Worthington H: The prevention of failed appointments in general dental practice. Br Dent J 1997, 182(4):139-143.
- [19]Lin KC: Behavior-associated self-report items in patient charts as predictors of dental appointment avoidance. J Dent Educ 2009, 73(2):218-224.
- [20]Cashman SB, Savageau JA, Lemay CA, Ferguson W: Patient health status and appointment keeping in an urban community health center. J Health Care Poor Underserved 2004, 15(3):474-488.
- [21]Parker EJ, Misan G, Shearer M, Richards L, Russell A, Mills H, Jamieson LM: Planning, implementing, and evaluating a program to address the oral health needs of Aboriginal children in Port Augusta, Australia. Int J Pediatr 2012. 10.1155/2012/496236
- [22]Koshy E, Car J, Majeed A: Effectiveness of mobile-phone short message service (SMS) reminders for ophthalmology outpatient appointments: observational study. BMC Ophthalmol 2008, 8:9. BioMed Central Full Text
- [23]Bos A, Hoogstraten J, Prahl-Andersen B: Failed appointments in an orthodontic clinic. Am J Orthod Dentofacial Orthop 2005, 127(3):355-357.
- [24]Christensen AA, Lugo RA, Yamashiro DK: The effect of confirmation calls on appointment-keeping behavior of patients in a children’s hospital dental clinic. Pediatr Dent 2001, 23(6):495-498.
- [25]Prasad S, Anand R: Use of mobile telephone short message service as a reminder: the effect on patient attendance. Int Dent J 2012, 62(1):21-26.
- [26]Lalloo R, Evans JL, Johnson NW: Dental care provision by students on a remote rural clinical placement. Aust N Z J Public Health 2013, 37(1):47-51.
- [27]Bazen JJ, Kruger E, Dyson K, Tennant M: An innovation in Australian dental education: rural, remote and Indigenous pre-graduation placements. Rural Remote Health 2007, 7(3):703.
- [28]Abuzar MA, Burrow MF, Morgan M: Development of a rural outplacement programme for dental undergraduates: students’ perceptions. Eur J Dent Educ 2009, 13(4):233-239.
- [29]Johnson GE, Blinkhorn AS: Student opinions on a rural placement program in New South Wales. Australia. Rural Remote Health 2011, 11(2):1703.
- [30]Kruger E, Jacobs A, Tennant M: Sustaining oral health services in remote and indigenous communities: a review of 10 years experience in Western Australia. Int Dent J 2010, 60(2):129-134.
- [31]Kruger E, Perera I, Tennant M: Primary oral health service provision in Aboriginal medical services-based dental clinics in Western Australia. Aust J Prim Health 2010, 16(4):291-295.
- [32]Kruger E, Tennant M: Short-stay rural and remote placements in dental education, an effective model for rural exposure: a review of eight-year experience in Western Australia. Aust J Rural Health 2010, 18(4):148-152.