PT - JOURNAL ARTICLE AU - Ahmed Alawadhi AU - Victoria Palin AU - Tjeerd van Staa TI - Prevalence and factors associated with missed hospital appointments: a retrospective review of multiple clinics at Royal Hospital, Sultanate of Oman AID - 10.1136/bmjopen-2020-046596 DP - 2021 Aug 01 TA - BMJ Open PG - e046596 VI - 11 IP - 8 4099 - http://bmjopen.bmj.com/content/11/8/e046596.short 4100 - http://bmjopen.bmj.com/content/11/8/e046596.full SO - BMJ Open2021 Aug 01; 11 AB - Objectives Missed hospital appointments pose a major challenge for healthcare systems. There is a lack of information about drivers of missed hospital appointments in non-Western countries and extent of variability between different types of clinics. The aim was to evaluate the rate and predictors of missed hospital appointments and variability in drivers between multiple outpatient clinics.Setting Outpatient clinics in the Royal hospital (tertiary referral hospital in Oman) between 2014 and 2018.Participants All patients with a scheduled outpatient clinic appointment (N=7 69 118).Study design Retrospective cross-sectional analysis.Primary and secondary outcome measures A missed appointment was defined as a patient who did not show up for the scheduled hospital appointment without notifying or asking for the appointment to be cancelled or rescheduled. The outcomes were the rate and predictors of missed hospital appointments overall and variations by clinic. Conditional logistic regression compared patients who attended and those who missed their appointment.Results The overall rate of missed hospital appointments was 22.3%, which varied between clinics (14.0% for Oncology and 30.3% for Urology). Important predictors were age, sex, service costs, patient’s residence distance from hospital, waiting time and appointment day and season. Substantive variability between clinics in ORs for a missed appointment was present for predictors such as service costs and waiting time. Patients aged 81–90 in the Diabetes and Endocrine clinic had an adjusted OR of 0.53 for missed appointments (95% CI 0.37 to 0.74) while those in Obstetrics and Gynaecology had OR of 1.70 (95% CI 1.11 to 2.59). Adjusted ORs for longer waiting times (>120 days) were 2.22 (95% CI 2.10 to 2.34) in Urology but 1.26 (95% CI 1.18 to 1.36) in Oncology.Conclusion Predictors of a missed appointment varied between clinics in their effects. Interventions to reduce the rate of missed appointments should consider these factors and be tailored to clinic.Data may be obtained from a third party and are not publicly available. The data that support the findings of this study are available from Ministry of Health, Sultanate of Oman, but restrictions apply to the availability of these data, which were used under license for the current study, and so are not publicly available.