Analyzing Factors and Reasons Behind NonAttendance of ENT Patients: Clinical Audit.

Faris Ahmed Bahammam, Neil Tolley, Romana Kuchai, Elliot Benjamin, Matthew Rollin
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Abstract

Objective: This study analyzed the frequency of follow-up patients at the ENT clinic and identified different factors that are associated with nonattendance at follow-up appointments since nonattendance imposes significant stress on the system of healthcare. Methods: This study was an ambidirectional cohort study and conducted a telephonic survey with 104 ENT patients who missed their appointments. Results: The findings of the study revealed that patients missed their scheduled appointments because of transportation problems (46%), professional engagement (46%), family problems (44%), and financial problems (32.7%). However, patients didn't identify forgetfulness about the appointment, complete recovery, and health-related issues on the day of the appointment as the barrier to missing their scheduled appointment. The study assessed the relationship between socioeconomic status and the frequency of follow-up patients in an ENT clinic where transportation factor (P < .000), working commitments (P < .004) affecting the "Lower Middle and Middle Class" individuals, and financial problems (P < .005), family problems (P < .028), feeling sick (P < .037) were significantly affecting the "Middle-Upper Class" and "Middle Class." Meanwhile, forgetfulness was not associated with the socio-economic status of the ENT patients (P = .237). Conclusion: This study found transportation, family, financial issues, and professional commitments to be the key barriers to ENT appointment attendance, with Lower-Middle-Class patients particularly affected by forgetfulness. These missed appointments negatively impact patient health and strain the healthcare system.

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分析耳鼻喉科病人未就诊的因素和原因:临床审计。
研究目的本研究分析了耳鼻喉科诊所复诊患者的频率,并确定了与不参加复诊相关的不同因素,因为不参加复诊会给医疗系统带来巨大压力。研究方法本研究是一项双向队列研究,对 104 名错过复诊的耳鼻喉科患者进行了电话调查。结果研究结果显示,患者因交通问题(46%)、职业约定(46%)、家庭问题(44%)和经济问题(32.7%)而错过预约。然而,患者并没有将忘记预约、完全康复和预约当天的健康相关问题视为错过预约的障碍。该研究评估了社会经济地位与耳鼻喉科诊所复诊患者频率之间的关系,其中交通因素(P P P P P = .237)。结论本研究发现,交通、家庭、经济问题和职业承诺是影响耳鼻喉科预约就诊的主要障碍,中下阶层患者尤其受到健忘的影响。这些失约对患者的健康造成了负面影响,也给医疗系统带来了压力。
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