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Socioeconomic influence on orofacial cleft patient care

I Smillie1, K Yong2, K Harris2

  • 1Speciality Registrar/Trainee Otolaryngology, Department of Paediatric Otolaryngology, Royal Hospital for Sick Children, UK iansmillie@nhs.net.

Scottish Medical Journal
|December 16, 2014
PubMed

Insights

Socioeconomic status impacts cleft lip and palate patient follow-up. More deprived patients have higher DNA (did not attend) rates, potentially affecting health outcomes.

Area of Science:

  • Craniofacial Surgery
  • Public Health
  • Health Services Research

Background:

  • Cleft lip and palate is a common UK craniofacial birth defect.
  • Orofacial clefts necessitate extensive multidisciplinary follow-up for optimal patient development.
  • Poor attendance rates can negatively impact patient outcomes.

Purpose of the Study:

  • To determine if socioeconomic status influences attendance, DNA (did not attend), and cancellation rates in cleft patients.
  • To investigate the relationship between socioeconomic deprivation and follow-up appointment adherence.

Main Methods:

  • Retrospective audit of 74 orofacial cleft patients.
  • Analysis of attendance, DNA, and cancellation rates based on socioeconomic status (Scottish Index of Multiple Deprivation - SIMD).

Main Results:

  • Higher DNA rates were observed in more deprived social groups (SIMD 1: 21%) compared to less deprived groups (SIMD 5: 10%).
  • Attendance rates differed significantly between deprivation levels (SIMD 1: 38% vs. SIMD 5: 78%).
  • Cleft lip and palate patients exhibited a higher overall DNA rate.

Conclusions:

  • Deprived areas show higher outpatient DNA rates for cleft patients, leading to suboptimal follow-up.
  • Financial implications of travel to multiple clinics may contribute to disparities in healthcare access.
  • Resource reallocation could address inequalities in healthcare provision for cleft patients.
Abstract

Keywords:
DNASIMDSocioeconomiccleftoutcomes

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