The influence of type of consultation and patient characteristics on non-attendence at adult ADHD consultation.

IF 2.2 Q3 PSYCHIATRY

BJPsych Bulletin Pub Date : 2025-06-05 DOI:10.1192/bjb.2025.35

Paul Stephenson, Marianne Durand, Matthew Humphreys, Alex Stewart

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引用次数: 0

Abstract

Aims and method: Non-attendance at out-patient appointments of adult attention-deficit hyperactivity disorder (ADHD) services incurs significant costs and contributes to lost service provision and unmet clinical needs. This cross-sectional study of clinical contacts, between 1 July 2022 and 30 June 2023 in a specialist adult ADHD service, aimed to identify factors, including type of consultation, associated with non-attendance.

Results: Of 3673 organised clinic appointments, 2815 (77%) were attended: 2314 (82%) by telephone and 501 (18%) as in-person appointments; non-attendance rates were 17 and 42%, respectively. Patient characteristics associated with improved attendance included: female gender, age >30 years and presence of other psychiatric diagnoses.

Clinical implications: This study will assist adult ADHD service providers to maximise patient attendance. The role of telephone (or virtual) clinics must be considered. Enhanced appointment reminders and improving access to services targeting at-risk groups could also improve attendance rates.

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成人ADHD会诊类型及患者特征对未出席率的影响。

目的和方法：成人注意力缺陷多动障碍（ADHD）的门诊预约不出席会导致大量费用，并导致服务提供的损失和未满足的临床需求。这项横断面研究在2022年7月1日至2023年6月30日期间在专业成人ADHD服务中进行临床接触，旨在确定与不出席相关的因素，包括咨询类型。结果：在3673次有组织的门诊预约中，有2815次（77%）参加了预约，其中电话预约2314次（82%），面对面预约501次（18%）；不出勤率分别为17%和42%。与提高出勤率相关的患者特征包括：女性、年龄在50 - 30岁之间以及是否存在其他精神病诊断。临床意义：本研究将帮助成人ADHD服务提供者最大限度地提高患者的出勤率。必须考虑电话（或虚拟）诊所的作用。加强预约提醒和改善针对高危群体的服务也可以提高出勤率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BJPsych Bulletin PSYCHIATRY-

CiteScore

4.30

自引率

3.80%

发文量

审稿时长

15 weeks

期刊介绍： BJPsych Bulletin prioritises research, opinion and informed reflection on the state of psychiatry, management of psychiatric services, and education and training in psychiatry. It provides essential reading and practical value to psychiatrists and anyone involved in the management and provision of mental healthcare.