Re-use of this article is permitted in accordance with the Terms and Conditions set out at http://wileyonlinelibrary.com/onlineopen#OnlineOpen_Terms
Short Report: Education and Psychological Aspects
Understanding issues associated with attending a young adult diabetes clinic: a case study
Article first published online: 11 JAN 2012
© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK
Volume 29, Issue 2, pages 257–259, February 2012
How to Cite
Snow, R. and Fulop, N. (2012), Understanding issues associated with attending a young adult diabetes clinic: a case study. Diabetic Medicine, 29: 257–259. doi: 10.1111/j.1464-5491.2011.03447.x
- Issue published online: 11 JAN 2012
- Article first published online: 11 JAN 2012
- Accepted manuscript online: 14 SEP 2011 06:33PM EST
- Accepted 6 September 2011
- healthcare delivery;
- patient experience;
- Type 1 diabetes
Diabet. Med. 29, 257–259 (2012)
Aims To study the reasons for attendance behaviour from the patient viewpoint at a young adult diabetes outpatient clinic.
Methods Attendance rates for 231 clinic appointments over 19 months for 102 patients were calculated. Semi-structured interviews were conducted with a purposive sample of 17 of the 102. The interviews encouraged participants to describe routines, thoughts and feelings around clinic appointments. Observations were made of the clinic system. Themes arising from patients’ emotional and practical issues around attendance were generated from the data.
Results ‘Did not attend’ rates for the clinic over the study period were 15.7%. However, bureaucratic problems created many ‘missed’ appointments; most instances of ‘did not attend’ investigated were attributable to communication failures. Participants did not divide neatly into ‘attenders’/’non-attenders’; many had complex mixed attendance records. Most weighed the value of attendance against immediate obstacles such as incompatible work/clinic hours. Reminders were seen as important, particularly for this age group. Respondents identified fear of being judged for ‘poor control’ as a major factor in attendance decisions, suggesting that having a high HbA1c level may lead to non-attendance, rather than vice versa.
Conclusions Health professionals’ supportive, non-judgemental attitude is important to patients considering clinic attendance. In this study, improved communication, reminders and flexible hours might reduce ‘did not attend’ rates.