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Non-attenders in general practice

The Journal of the Royal College of General Practitioners

|June 1, 1976

Summary

This summary is machine-generated.

Long-term non-attenders to general practice are more likely to be self-employed and slimmer. Their non-attendance rarely conceals serious illness, suggesting targeted outreach may improve healthcare access.

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Area of Science:

General Practice
Preventive Medicine
Health Services Research

Background:

Understanding patient non-attendance is crucial for effective healthcare delivery.
Identifying characteristics of long-term non-attenders can inform targeted interventions.
Previous research has not fully elucidated the profile of individuals who consistently miss appointments.

Purpose of the Study:

To characterize individuals who have not attended general practice for five years or longer.
To compare the demographic and lifestyle factors of non-attenders with regular attendees.
To investigate whether non-attendance is associated with undetected serious illness.

Main Methods:

A case-control study was conducted within a general practice of 5,750 patients.

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Non-attenders (5+ years) were identified and matched with controls from the same practice.

Data were collected via a questionnaire survey.

Main Results:

Non-attenders showed a higher proportion of self-employed individuals and a lower proportion of retirees.
They were represented across all age ranges, with a concentration in those aged 35 and over.
Non-attenders were significantly slimmer and less likely to seek alternative medical advice.

Conclusions:

Long-term non-attendance is associated with specific demographic (self-employed, age 35+) and lifestyle (slimmer, less likely to seek other advice) factors.
Non-attendance does not typically indicate the presence of serious, remediable conditions.
These findings can guide strategies to re-engage non-attenders with primary healthcare services.