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Article: Waiting time, doctor shopping, and nonattendance at specialist outpatient clinics: Case-control study of 6495 individuals in Hong Kong

TitleWaiting time, doctor shopping, and nonattendance at specialist outpatient clinics: Case-control study of 6495 individuals in Hong Kong
Authors
KeywordsDoctor shopping
Hong Kong
Nonattendance
Waiting time
Issue Date2003
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.lww-medicalcare.com
Citation
Medical Care, 2003, v. 41 n. 11, p. 1293-1300 How to Cite?
AbstractOBJECTIVE. Nonattendance is a major health services research and management issue that has received little attention or systematic study in Asia. We examined the independent associations between waiting time, doctor shopping, and nonattendance in specialist outpatient clinics of 4 large public hospitals in Hong Kong. RESEARCH DESIGN. Case-control study. SETTING AND PARTICIPANTS. A total of 6495 attenders and nonattenders enrolled from July 2000 through October 2001. MAIN OUTCOME MEASURES. Odds ratios (ORs) and associated 95% confidence intervals (CI) for nonattendance. RESULTS. Longer waiting times (adjusted OR 2nd quartile,/1-67; 95% CI, 1.38-2.03; adjusted OR 3rd quartile, 1-90; 95% CI, 1.56-2.30; adjusted OR 4th quartile, 2.30; 95% CI, 1.91-2.78) and doctor-shopping behavior (adjusted OR, 2.91; 95% CI, 2.51-3.38) were independent risk factors for nonattendance. These effects were robust after multivariate adjustment and testing for effect modification. They also appeared to persist uniformly across hospitals and specialties. There was no demonstrable relationship between waiting time and doctor shopping. CONCLUSIONS. This is the largest study of non-attendance at outpatient clinics and the first such study carried out in Asia. Targeted strategies should be implemented and evaluated using these results to reduce waiting time, doctor shopping, and ultimately nonattendance. © 2003 Lippincott Williams & Wilkins, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/151588
ISSN
2015 Impact Factor: 3.081
2015 SCImago Journal Rankings: 2.004
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, GMen_HK
dc.contributor.authorCastanCameo, Sen_HK
dc.contributor.authorMcghee, SMen_HK
dc.contributor.authorWong, IOLen_HK
dc.contributor.authorJohnston, JMen_HK
dc.date.accessioned2012-06-26T06:25:03Z-
dc.date.available2012-06-26T06:25:03Z-
dc.date.issued2003en_HK
dc.identifier.citationMedical Care, 2003, v. 41 n. 11, p. 1293-1300en_HK
dc.identifier.issn0025-7079en_HK
dc.identifier.urihttp://hdl.handle.net/10722/151588-
dc.description.abstractOBJECTIVE. Nonattendance is a major health services research and management issue that has received little attention or systematic study in Asia. We examined the independent associations between waiting time, doctor shopping, and nonattendance in specialist outpatient clinics of 4 large public hospitals in Hong Kong. RESEARCH DESIGN. Case-control study. SETTING AND PARTICIPANTS. A total of 6495 attenders and nonattenders enrolled from July 2000 through October 2001. MAIN OUTCOME MEASURES. Odds ratios (ORs) and associated 95% confidence intervals (CI) for nonattendance. RESULTS. Longer waiting times (adjusted OR 2nd quartile,/1-67; 95% CI, 1.38-2.03; adjusted OR 3rd quartile, 1-90; 95% CI, 1.56-2.30; adjusted OR 4th quartile, 2.30; 95% CI, 1.91-2.78) and doctor-shopping behavior (adjusted OR, 2.91; 95% CI, 2.51-3.38) were independent risk factors for nonattendance. These effects were robust after multivariate adjustment and testing for effect modification. They also appeared to persist uniformly across hospitals and specialties. There was no demonstrable relationship between waiting time and doctor shopping. CONCLUSIONS. This is the largest study of non-attendance at outpatient clinics and the first such study carried out in Asia. Targeted strategies should be implemented and evaluated using these results to reduce waiting time, doctor shopping, and ultimately nonattendance. © 2003 Lippincott Williams & Wilkins, Inc.en_HK
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.lww-medicalcare.comen_HK
dc.relation.ispartofMedical Careen_HK
dc.rightsMedical Care. Copyright © Lippincott Williams & Wilkins.-
dc.subjectDoctor shoppingen_HK
dc.subjectHong Kongen_HK
dc.subjectNonattendanceen_HK
dc.subjectWaiting timeen_HK
dc.titleWaiting time, doctor shopping, and nonattendance at specialist outpatient clinics: Case-control study of 6495 individuals in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.emailLeung, GM: gmleung@hkucc.hku.hken_HK
dc.identifier.emailMcghee, SM: smmcghee@hkucc.hku.hken_HK
dc.identifier.emailWong, IOL: iolwong@hku.hken_HK
dc.identifier.emailJohnston, JM: jjohnsto@hku.hken_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.identifier.authorityMcghee, SM=rp00393en_HK
dc.identifier.authorityWong, IOL=rp01806en_HK
dc.identifier.authorityJohnston, JM=rp00375en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/01.MLR.0000093481.93107.C2en_HK
dc.identifier.scopuseid_2-s2.0-0642281051en_HK
dc.identifier.hkuros85181-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0642281051&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume41en_HK
dc.identifier.issue11en_HK
dc.identifier.spage1293en_HK
dc.identifier.epage1300en_HK
dc.identifier.isiWOS:000186270500009-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.scopusauthoridCastanCameo, S=6506861240en_HK
dc.identifier.scopusauthoridMcghee, SM=7003288588en_HK
dc.identifier.scopusauthoridWong, IOL=7102513940en_HK
dc.identifier.scopusauthoridJohnston, JM=7403397964en_HK

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