Study of Factors Associated With Missed Appointments of Patients in Adult Allergy Clinic at Ramathibodi Hospital

Thanuchporn Kafaksom; Nichapha Dechapaphapitak; Malinee Tongdee; Supa Oncham; Umaporn Udomsubpayakul; Wannada Laisuan

doi:10.33165/rmj.2019.42.1.115287

Authors

Thanuchporn Kafaksom Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Nichapha Dechapaphapitak Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Malinee Tongdee Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Supa Oncham Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Umaporn Udomsubpayakul Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Wannada Laisuan Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

DOI:

https://doi.org/10.33165/rmj.2019.42.1.115287

Keywords:

Appointment, Allergy disease, Factor of missed appointment

Abstract

Background: The incidence of missed appointment of the patients who were waiting more than 1 month was 22.0%. Therefore, this study was designed to identify factors associated with missed appointment which may lead to better system development.

Objective: To study factors that affect missed appointments.

Methods: This was a survey research using the questionnaire demonstrated factors associated with missed appointments. This study included 330 patients who had been serving from October 2016 to March 2017 in allergy clinic at Ramathibodi Hospital.

Results: Of the 330 patients, 71.5% were female, 57.0% graduated a bachelor degree, 76.7% lived in Bangkok and nearby provinces, and 37.9% used civil servant medical benefit. Among 75.5% of patients had general appointments, 24.5% had intervention appointment, 72.1% experienced missed appointments, and only 27.9% never been defaulted. Factors associated with never been defaulted appointments were degree graduation higher than bachelor degree, appointment for intervention, conveniency of commuted methods, and lesser waiting time at the hospital. While factors affecting missed appointments were error checking for dates, forgotten the dates, the good condition of the illness, remission of disease activities, still exist much of medicine, and boring with the service system of the hospital. Approximately 83.3% of patients did not use Rama Appointment, a mobile application for appointment management.

Conclusions: There are many factors associated with missed appointments which provide opportunity for quality improvement.

References

Asher MI, Montefort S, Björkstén B, et al. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and eczema in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet. 2006;368(9537):733-743. doi:10.1016/S0140-6736(06)69283-0.

Bousquet J, Khaltaev N, Cruz AA, et al. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy. 2008;63(Suppl 86):8-160. doi:10.1111/j.1398-9995.2007.01620.x.

Bunnag C, Jareoncharsri P, Tantilipikorn P, Vichyanond P, Pawankar R. Epidemiology and current status of allergic rhinitis and asthma in Thailand -- ARIA Asia-Pacific Workshop report. Asian Pac J Allergy Immunol. 2009;27(1):79-86.

Oncham S, Tongdee M, Dachaprapapitak N, Kafaksom T, Wongsa C, Laisuan W. Prevalence of aeroallergen sensitization from skin prick test in allergy clinic at Ramathibodi Hospital. Ramathibodi Medical Journal. 2018;41(2), 9-15. doi:10.14456/rmj.2018.13.

Dechapaphapitak N, Tongdee M, Wongsa C, Kafaksom T, Udomsubpayakul U, Laisuan W. The correlation between common aeroallergen sensitization and quality of life in adult chronic rhinitis patients. Ramathibodi Medical Journal. 2018;41(4), 27-36. doi:10.14456/rmj.2018.40.

Craig TJ, McCann JL, Gurevich F, Davies MJ. The correlation between allergic rhinitis and sleep disturbance. J Allergy Clin Immunol. 2004;114(5 Suppl):S139-S145. doi:10.1016/j.jaci.2004.08.044.

Bousquet PJ, Bachert C, Canonica GW, et al. Uncontrolled allergic rhinitis during treatment and its impact on quality of life: a cluster randomized trial. J Allergy Clin Immunol. 2010;126(3):666-8.e1-e5. doi:10.1016/j.jaci.2010.06.034.

Meltzer EO, Blaiss MS, Derebery MJ, et al. Burden of allergic rhinitis: results from the Pediatric Allergies in America survey. J Allergy Clin Immunol. 2009;124(3 Suppl):S43-S70. doi:10.1016/j.jaci.2009.05.013.

Rama Appointment [mobile app]. Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. https://med.mahidol.ac.th/patient_care/th/RamaApp/info/14dec2017-0941. Accessed January 1, 2019.

Prayoonhong T, Doasodsa P. Work study and work design of an outpatient dispensing service at Phimai Hospital, Nakornratchasima. IJPS. 2008;4(2):24-35.

Chinvarakorn C. Reduction of drug dispensing time for out-patients at Somdetphraphutthalertla Hospital. Journal of Health Science. 2016;25(4):664-672.