Evidence map›Paper›PMID 24243869›Full record

ArticleFamily practice2014

Health care professionals' views of paediatric outpatient non-attendance: implications for general practice.

Elaine Cameron, Gemma Heath, Sabi Redwood, Sheila Greenfield, Carole Cummins, Deirdre Kelly, Helen Pattison

Open access · hybridAbstract read
In one paragraph

Article in Family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
9.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 30 citations in OpenAlex.

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  8. Characteristics of children who do not attend their hospital appointments, and GPs' response: a mixed methods study in primary and secondary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Elaine CameronHealth Psychology, Life and Health Sciences, Aston University, Aston Triangle, Birmingham, B4 7ET.
Gemma Heath
Sabi Redwood
Sheila Greenfield
Carole Cummins
Deirdre Kelly
Helen Pattison
University of Birmingham · GBAston University · GBBoston Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-attendance at paediatric hospital outpatient appointments poses potential risks to children's health and welfare. Prevention and management of missed appointments depends on the perceptions of clinicians and decision makers from both primary and secondary care, including general practitioners (GPs) who are integral to non-attendance follow-up.

objectivesTo examine the views of clinical, managerial and executive health care staff regarding occurrence and management of non-attendance at general paediatric outpatient clinics.

methodsA qualitative study using individual semi-structured interviews was carried out at three English Primary Care Trusts and a nearby children's hospital. Interviews were conducted with 37 staff, including GPs, hospital doctors, other health care professionals, managers, executives and commissioners. Participants were recruited through purposive and 'snowball' sampling methods. Data were analysed following a thematic framework approach.

resultsGPs focused on situational difficulties for families, while hospital-based staff emphasized the influence of parents' beliefs on attendance. Managers, executives and commissioners presented a broad overview of both factors, but with less detailed views. All groups discussed sociodemographic factors, with non-attendance thought to be more likely in 'chaotic families'. Hospital interviewees emphasized child protection issues and the need for thorough follow-up of missed appointments. However, GPs were reluctant to interfere with parental responsibilities.

conclusionParental motivation and practical and social barriers should be considered. Responsibilities regarding missed appointments are not clear across health care sectors, but GPs are uniquely placed to address non-attendance issues and are central to child safeguarding. Primary care policies and strategies could be introduced to reduce non-attendance and ensure children receive the care they require.

Indexed as

Appointments and SchedulesAttitude of Health PersonnelGeneral PracticeHospitals, PediatricMedical Staff, HospitalOutpatient Clinics, HospitalPatient ComplianceHealth Services AccessibilityHumansPhysician ExecutivesQualitative ResearchSocioeconomic FactorsTransportationTravelAppointments and schedulesattitude of health personnelchild welfaregeneral practitionerspediatricsqualitative research.

Identifiers

PMID24243869
PMCPMC3902212
OpenAlexW2108545203

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.