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Article: 'Lost to follow-up': Reasons for discontinued surveillance in a follow-up register

Title'Lost to follow-up': Reasons for discontinued surveillance in a follow-up register
Authors
Issue Date1981
Citation
Community Medicine, 1981, v. 3 n. 1, p. 25-30 How to Cite?
AbstractMany doctors, in both hospital and primary care, experience difficulties in the follow-up of patients who require long term surveillance. An evaluation has been made of the performance of a register in maintaining lifelong follow-up in patients treated for thyroid disease. In 5454 patients treated in four teaching hospitals in Scotland, the estimated 8-year cumulative incidence of discontinued follow-up ranges from 5.4±0.7 (s.e.) per cent to 8.4±1.1 (s.e.) per cent. Records reveal four main reasons for failure to maintain follow-up with the register: patient movement, patient unwillingness to accept follow-up arrangements, general practitioner withdrawal of patients from the register and retention of patients at specialist clinics. The study indicates weaknesses in the usual methods of communicating with patients and doctors, even under near 'optimum' conditions of follow-up. The model provided by the register could now be used to test the effects of modifications to the follow-up procedures withthe aim of improving the efficiency of long term surveillance.
Persistent Identifierhttp://hdl.handle.net/10722/151424
ISSN

 

DC FieldValueLanguage
dc.contributor.authorJones, SJen_US
dc.contributor.authorHedley, AJen_US
dc.contributor.authorYoung, REen_US
dc.date.accessioned2012-06-26T06:23:10Z-
dc.date.available2012-06-26T06:23:10Z-
dc.date.issued1981en_US
dc.identifier.citationCommunity Medicine, 1981, v. 3 n. 1, p. 25-30en_US
dc.identifier.issn0142-2456en_US
dc.identifier.urihttp://hdl.handle.net/10722/151424-
dc.description.abstractMany doctors, in both hospital and primary care, experience difficulties in the follow-up of patients who require long term surveillance. An evaluation has been made of the performance of a register in maintaining lifelong follow-up in patients treated for thyroid disease. In 5454 patients treated in four teaching hospitals in Scotland, the estimated 8-year cumulative incidence of discontinued follow-up ranges from 5.4±0.7 (s.e.) per cent to 8.4±1.1 (s.e.) per cent. Records reveal four main reasons for failure to maintain follow-up with the register: patient movement, patient unwillingness to accept follow-up arrangements, general practitioner withdrawal of patients from the register and retention of patients at specialist clinics. The study indicates weaknesses in the usual methods of communicating with patients and doctors, even under near 'optimum' conditions of follow-up. The model provided by the register could now be used to test the effects of modifications to the follow-up procedures withthe aim of improving the efficiency of long term surveillance.en_US
dc.languageengen_US
dc.relation.ispartofCommunity Medicineen_US
dc.subject.meshContinuity Of Patient Careen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshLong-Term Care - Organization & Administrationen_US
dc.subject.meshPatient Dropoutsen_US
dc.subject.meshPhysician-Patient Relationsen_US
dc.subject.meshRegistriesen_US
dc.subject.meshScotlanden_US
dc.subject.meshThyroid Diseasesen_US
dc.title'Lost to follow-up': Reasons for discontinued surveillance in a follow-up registeren_US
dc.typeArticleen_US
dc.identifier.emailHedley, AJ:hrmrajh@hkucc.hku.hken_US
dc.identifier.authorityHedley, AJ=rp00357en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid6783364-
dc.identifier.scopuseid_2-s2.0-0019515538en_US
dc.identifier.volume3en_US
dc.identifier.issue1en_US
dc.identifier.spage25en_US
dc.identifier.epage30en_US
dc.identifier.scopusauthoridJones, SJ=7405931706en_US
dc.identifier.scopusauthoridHedley, AJ=7102584095en_US
dc.identifier.scopusauthoridYoung, RE=7405925753en_US

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