Non-attendance of occupational and physiotherapy appointments at Western Cape Rehabilitation Centre : a description of associated factors

De Klerk, Susan ; Eloff, Lize ; Naude, Zani ; Boon, Andrea ; Carelse, Megan ; Steward, Michaela ; Zaidi, Minal (2019-12)

CITATION: De Klerk, S. et al. 2019. Non-attendance of occupational and physiotherapy appointments at Western Cape Rehabilitation Centre : a description of associated factors. South African Journal of Occupational Therapy, 49(3):54-63, doi:10.17159/2310-3833/2019/vol49n3a9.

The original publication is available at http://www.sajot.co.za

Article

Introduction: Occupational therapists and physiotherapists use outpatient follow-up appointments to continue and monitor the effectiveness and outcome of therapy interventions. Attendance of follow-up appointments is essential, as non-attendance has negative implications for both the patient and the healthcare facility. Methodology: This retrospective, cross-sectional study made use of a period sample of all outpatients with scheduled appointments between January and December 2017 (n = 837) at the Western Cape Rehabilitation Centre (WCRC). Children under the age of 18 years were excluded. Descriptive statistics were used to describe the identified variables of the sample. Logistic regression was used to determine the adjusted odds ratio for the association between non-attendances and identified covariates. Results: The sample population of 837 patients, included 516 attenders and 321 non-attenders. Factors that had an association with non-attendance included hospital classification, diagnostic category and impairment according to ICD 10 coding (p ≤ 0.05). Conclusion: This article describe factors associated with non-attendance of outpatients to scheduled occupational therapy and physiotherapy appointments at the WCRC. Further research is needed to determine the reasons for non-attendance at institutions such as WCRC which will assist in the implementation of strategies to reduce high non-attendance rates.

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