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Why patients fail to attend for ENT operations: a one-year prospective audit.

S Hampal1, L M Flood

  • 1Research Foundation, North Riding Infirmary, Middlesbrough, Cleveland, UK.

Clinical Otolaryngology and Allied Sciences
|June 1, 1992
PubMed
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Many patients miss routine Ear, Nose, and Throat (ENT) surgeries, leading to wasted hospital resources. Younger males and those with longer waits, especially for septal operations, are more likely to be no-shows.

Area of Science:

  • Otolaryngology
  • Healthcare Management
  • Patient Adherence

Background:

  • A significant number of patients do not attend scheduled Ear, Nose, and Throat (ENT) operations.
  • This leads to substantial resource wastage and challenges in hospital resource allocation.

Purpose of the Study:

  • To identify characteristics of patients who fail to attend routine ENT surgeries.
  • To understand the reasons behind patient non-attendance for elective ENT procedures.

Main Methods:

  • A one-year prospective study involving 181 patients who did not attend their scheduled ENT surgery.
  • A questionnaire was used to investigate non-attenders.
  • Non-attenders were matched with patients who did attend their surgery.

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Main Results:

  • Non-attendance was significantly higher in patients aged 16 years or younger.
  • Males, patients with longer waiting list times (P < 0.05), and those scheduled for nasal septal operations were more likely to be no-shows.
  • One in five non-attenders had changed their address during the waiting period.
  • The length of notification time did not affect the non-attendance rate.

Conclusions:

  • Patient demographics and specific surgical types influence no-show rates in ENT surgery.
  • Factors such as age, sex, waiting time, and address changes contribute to missed appointments.
  • Healthcare providers should consider targeted interventions for high-risk patient groups to reduce surgical cancellations.