ArticleBJGP open2024
Factors influencing multiple non-utilised healthcare appointments from patients' and healthcare providers' perspectives: a qualitative systematic review of the global literature.
Article in BJGP open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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.
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Who cites it
9 citing papers in PubMed.
- Effectiveness of a Transdiagnostic Emotion-Focused Treatment in Clinical Care: A Sequential Single-Case Experimental Design.European journal of pain (London, England) · 2026Trial
- Patient and carer perceptions and experiences of technology-facilitated appointment reminders in healthcare: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2026Article
- [Patient-reported reasons for missed otolaryngology outpatient appointments].Anales del sistema sanitario de Navarra · 2026Observational
- Nearly two years after the earthquake: the prevalence and determinants of health service delay behavior among earthquake victims living in temporary accommodation centers in Türkiye.BMC public health · 2026Article
- Lessons learned from a sustained mobile prenatal care delivery program: results from a mixed-methods evaluation to understand appointment attendance and patient satisfaction.BMC pregnancy and childbirth · 2026Article
- Addressing Frailty in the Emergency Department: Early Outcomes of a Geriatric Rapid Access Clinic.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- What are we missing? Reflections on the 'problem' of missed appointments in the UK.NIHR open research · 2026Article
- Early activity and impact of a neighbourhood multidisciplinary team that integrates health and social support for underserved children and young people in Birmingham, UK: an observational study.BMJ paediatrics open · 2025Observational
- No-Show Rates at a Plastic Surgery Clinic: Insights From Appalachian Healthcare Systems.Cureus · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe term 'non-utilised appointments' emerged in 2019 but lacks a clear definition. We focus on multiple non-utilised appointments owing to recent advances in understanding 'missingness' in UK health care. Studies on missed appointments show conflicting results regarding interventions such as text messaging owing to oversight of occasional versus repeated missed appointments. Understanding patient and healthcare-related factors in multiple non-utilised appointments is crucial for improving interventions and patient engagement.
aimTo identify factors influencing multiple non-utilised appointments from patients' and healthcare providers' perspectives. DESIGN &
settingA systematic review of qualitative research identifying factors that influence multiple non-utilised appointments across diverse global healthcare settings.
methodThe review employed a qualitative systematic approach, encompassing diverse papers from multiple databases, irrespective of patient or healthcare provider age, location, or setting. Data analysis followed Thomas and Harden's thematic synthesis method. Themes are presented in alignment with both the health service and patient perspective aspects of the Levesque access model.
resultsTen thousand and eighty-six records were retrieved. Five studies met the inclusion criteria and were analysed. Six key themes influenced appointment utilisation. Healthcare system determinants highlighted provider-patient relationship and professionalism, and healthcare organisation factors role in appointment utilisation. Patient experience and decision making explored personal factors. Additionally, communication, support, and engagement delved into challenges with communication and language, family and social support, and socio-familial barriers to appointment utilisation. Health and wellbeing factors encompassed medical conditions, mental and emotional factors, and psychosocial determinants affecting appointment utilisation. Moreover, financial constraints and socioeconomic factors were identified as significant contributors. Lastly, healthcare access and barriers addressed transportation challenges, accessibility issues, and geographical barriers impacting healthcare access.
conclusionThe analysis reveals complex factors influencing multiple non-utilised appointments. Strong provider-patient relationships improve care accessibility. Flexible scheduling and patient-centred approaches are pivotal, alongside addressing workplace discrimination. Tailored healthcare services and overcoming geographical barriers are essential. Ensuring safety, accessibility, and communication, while supporting vulnerable groups and mental health needs, are necessary. Equitable access to services and alternative transportation solutions are essential for comprehensive healthcare delivery.
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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.