Missed first appointments: Prevalence and associated factors in first-time attendees at an outpatient psychiatric clinic in Nigeria

In Nigeria, outpatient care forms the bulk of the psychiatric service. While there are no published data, empirical observations indicate that default may be high and exerting a huge toll on the cost of care. The aims were to determine the first-appointment default rate among newly seen outpatients...

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Bibliographic Details
Authors: Adeponle, Ademola B. (Author) ; Obembe, Ayodele o. (Author) ; Suleiman, Gambari t. (Author) ; Adeyemi, Olushola s. (Author)
Format: Electronic Article
Language:English
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Published: Taylor & Francis 2007
In: Mental health, religion & culture
Year: 2007, Volume: 10, Issue: 6, Pages: 609-620
Online Access: Volltext (lizenzpflichtig)

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520 |a In Nigeria, outpatient care forms the bulk of the psychiatric service. While there are no published data, empirical observations indicate that default may be high and exerting a huge toll on the cost of care. The aims were to determine the first-appointment default rate among newly seen outpatients in a psychiatric clinic and to identify factors associated with it. The study was a survey of all newly seen patients from 1 January 2006 to 31 January 2006, and who were given a follow-up appointment. A total of 223 new patients were seen. Of these, 151 (67.7%) turned up for their appointment, 61 (27.4%) defaulted, and 11 (4.9%) were referred. Defaulters were more likely to be Christians, younger in age, and in employment. On using correlation statistics, respondents’ religion and occupational status demonstrated a linear relationship and a significant association with follow-up attendance/non-attendance. The rate of non-attendance at first follow-up is of clinical concern, and the possible contribution of religion to this may be enormous. Clinicians and health policy makers need to be sensitive to this. The introduction of community psychiatric services and collaboration between orthodox and traditional/religious practitioners may help reduce default rates. 
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