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Research

From statistics to stories: understanding the complex landscape of missed medical appointments. A mixed-methods pilot study

Lea Charton, Francis Gatier, Chloe Delacour and Camille Lépine
BJGP Open 2024; 8 (3): BJGPO.2024.0007. DOI: https://doi.org/10.3399/BJGPO.2024.0007
Lea Charton
1 General Medicine Department, Faculty of Medicine, University of Strasbourg, Strasbourg, France
2 Maison de Santé Pluriprofessionnelle Universitaire du Neuhof, Strasbourg, France
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  • ORCID record for Lea Charton
  • For correspondence: lea.charton{at}unistra.fr
Francis Gatier
1 General Medicine Department, Faculty of Medicine, University of Strasbourg, Strasbourg, France
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Chloe Delacour
1 General Medicine Department, Faculty of Medicine, University of Strasbourg, Strasbourg, France
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Camille Lépine
1 General Medicine Department, Faculty of Medicine, University of Strasbourg, Strasbourg, France
2 Maison de Santé Pluriprofessionnelle Universitaire du Neuhof, Strasbourg, France
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    Figure 1. Flowchart summarising the inclusion of patients in the study

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    Table 1. Summary of characteristics of patients who responded to the telephone interview
    Patients who participated in the interview (n = 22)Primary health insurance office data for all
    patients of the urban health center (n = 6118)
    P value
    Sex F, n (%)15 (68.2)3302 (54.0)0.49
    Average age (sem)40.3 (3.1)33
     Min19
     Max76
    Age distribution
     Age 18–39, n (%)11 (50.0)2080 (34.0)
     Age 40–64, n (%)10 (45.5)2674 (43.7)
     Age ≥65, n (%)1 (4.5)844 (13.8)
    SHC, n (%)15 (68.2)3010 (49.2)0.38
    Chronic illness, n (%)9 (40.9)1346 (22.0)0.15
     of which chronic psychiatric illness, n (%)5 (22.7)
    Experience of violence in patient history, n (%)8 (36.4)
    History of illicit substance use, n (%)6 (27.3)
    Born in a foreign country, n (%)5 (22.7)
    Average EPICES score (sem)41.3 (1.46)47.7
     Min8.30
     Max88.2100
    Number of consultations per year per patient
     Average14
     >10 consultations in a year, n (%)13 (59.1)655 (10.7) <0.05*
     6–10 consultations in a year, n (%)4 (18.2)1333 (21.8)0.99
     2–5 consultations in a year, n (%)1 (4.5)3015 (49.3) <0.05*
     1 consultation in the year, n (%)4 (18.2)1107 (18.1)0.98
    • Sem = standard error of the mean. SHC = state health coverage. Bold and asterisked = statistically significant.

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From statistics to stories: understanding the complex landscape of missed medical appointments. A mixed-methods pilot study
Lea Charton, Francis Gatier, Chloe Delacour, Camille Lépine
BJGP Open 2024; 8 (3): BJGPO.2024.0007. DOI: 10.3399/BJGPO.2024.0007

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From statistics to stories: understanding the complex landscape of missed medical appointments. A mixed-methods pilot study
Lea Charton, Francis Gatier, Chloe Delacour, Camille Lépine
BJGP Open 2024; 8 (3): BJGPO.2024.0007. DOI: 10.3399/BJGPO.2024.0007
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Keywords

  • inequalities
  • community care
  • health inequities
  • general practice
  • pilot projects

More in this TOC Section

  • Violence and abuse towards staff by patients and the public in general practice since COVID-19: findings from an online survey
  • Association between overweight and obesity and the frequency of general practice consultations among children aged 2–17 years: a French retrospective cohort study
  • Testing a structured end-of-life care approach in Danish general practice settings: a cohort study
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