Non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial

INTRODUCTION: A high non-attendance rate (NAR) in outpatient clinics continues to pose a significant problem worldwide. A high NAR has negative consequences to costs of health care and quality of patient care. Hence, this study was undertaken to evaluate if SMS reminder could improve the NAR comp...

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Main Author: Fikry @ Fickry, Azri
Format: Thesis
Language:English
Published: 2017
Subjects:
Online Access:http://eprints.usm.my/44797/
http://eprints.usm.my/44797/1/Dr.%20Azri%20Fikry%40Fickry-24%20pages.pdf
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author Fikry @ Fickry, Azri
author_facet Fikry @ Fickry, Azri
author_sort Fikry @ Fickry, Azri
building USM Institutional Repository
collection Online Access
description INTRODUCTION: A high non-attendance rate (NAR) in outpatient clinics continues to pose a significant problem worldwide. A high NAR has negative consequences to costs of health care and quality of patient care. Hence, this study was undertaken to evaluate if SMS reminder could improve the NAR compared to the conventional system in a paediatric clinic at a tertiary hospital in East Coast Malaysia. Methods: We conducted a parallel single blind randomised controlled study where consented parents of patients that required a clinic appointment were recruited into the study. Upon randomisation, subjects were allocated either to the intervention group that will receive SMS reminder or the control group. In the intervention group, an SMS reminder will be sent a week before the appointment date but the control group will not be given any reminder.Results: 314 subjects were analysed in control group and 309 subjects for the intervention group. The NAR in our clinics was 33% and the SMS reminder significantly reduced the NAR in the intervention compared by 15.1% (p<0.001) to the conventional system. There was no association of poor socioeconomic group with poor attendance rate. Conclusion: SMS reminder was effective in reducing the NAR at Paediatric outpatient clinics compared to the conventional system. Poor socioeconomic status did not have any negative effect in attendance rate.
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spelling usm-447972020-10-22T03:03:13Z http://eprints.usm.my/44797/ Non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial Fikry @ Fickry, Azri R Medicine INTRODUCTION: A high non-attendance rate (NAR) in outpatient clinics continues to pose a significant problem worldwide. A high NAR has negative consequences to costs of health care and quality of patient care. Hence, this study was undertaken to evaluate if SMS reminder could improve the NAR compared to the conventional system in a paediatric clinic at a tertiary hospital in East Coast Malaysia. Methods: We conducted a parallel single blind randomised controlled study where consented parents of patients that required a clinic appointment were recruited into the study. Upon randomisation, subjects were allocated either to the intervention group that will receive SMS reminder or the control group. In the intervention group, an SMS reminder will be sent a week before the appointment date but the control group will not be given any reminder.Results: 314 subjects were analysed in control group and 309 subjects for the intervention group. The NAR in our clinics was 33% and the SMS reminder significantly reduced the NAR in the intervention compared by 15.1% (p<0.001) to the conventional system. There was no association of poor socioeconomic group with poor attendance rate. Conclusion: SMS reminder was effective in reducing the NAR at Paediatric outpatient clinics compared to the conventional system. Poor socioeconomic status did not have any negative effect in attendance rate. 2017 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/44797/1/Dr.%20Azri%20Fikry%40Fickry-24%20pages.pdf Fikry @ Fickry, Azri (2017) Non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial. Masters thesis, Universiti Sains Malaysia.
spellingShingle R Medicine
Fikry @ Fickry, Azri
Non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial
title Non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial
title_full Non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial
title_fullStr Non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial
title_full_unstemmed Non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial
title_short Non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial
title_sort non-attendance in paediatric outpatient clinics, text reminder versus conventional system a randomised control trial
topic R Medicine
url http://eprints.usm.my/44797/
http://eprints.usm.my/44797/1/Dr.%20Azri%20Fikry%40Fickry-24%20pages.pdf