Choosing and booking-and attending? Impact of an electronic booking system on outpatient referrals and non-attendances.

TitreChoosing and booking-and attending? Impact of an electronic booking system on outpatient referrals and non-attendances.
Publication TypeJournal Article
Year of Publication2017
AuthorsDusheiko, M, Gravelle, H
JournalHealth economics
Date Published08/2017
DOI10.1002/hec.3552
ISSN1099-1050
Mots-clésGatekeeping, General Practice, non-attendance, Outpatients, referrals
Abstract

Patient non-attendance can lead to worse health outcomes and longer waiting times. In the English National Health Service, around 7% of patients who are referred by their general practice for a hospital outpatient appointment fail to attend. An electronic booking system (Choose and Book-C&B) for general practices making hospital outpatient appointments was introduced in England in 2005 and by 2009 accounted for 50% of appointments. It was intended, inter alia, to reduce the rate of non-attendance. Using a 2004-2009 panel with 7,900 English general practices, allowing for the relaxation of constraints on patient of hospital, and for the potential endogeneity of use of C&B, we estimate that the introduction of C&B reduced non-attendance by referred patients in 2009 by 72,160 (8.7%).

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/28776868?dopt=Abstract

Alternate JournalHealth Econ
Citation Key / SERVAL ID8165
Peer reviewRefereed
PubMed ID28776868
                         

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