Demographic and Clinical Factors Are Associated With Frequent Short-Notice Cancellations in Veterans With Multiple Sclerosis on Disease Modifying Therapies
| Autor: | Steven L. Leipertz, Elizabeth S. Gromisch, Jodie K. Haselkorn, John Beauvais, Aaron P. Turner |
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| Rok vydání: | 2022 |
| Předmět: |
Male
medicine.medical_specialty Multiple Sclerosis medicine.medical_treatment Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Disease Odds Appointments and Schedules medicine Humans health care economics and organizations Demography Retrospective Studies Veterans Rehabilitation business.industry Multiple sclerosis Emergency department Odds ratio medicine.disease humanities Cross-Sectional Studies Cohort Emergency medicine Female business human activities |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 103:915-920.e1 |
| ISSN: | 0003-9993 |
| DOI: | 10.1016/j.apmr.2021.10.004 |
| Popis: | OBJECTIVES (1) To identify the rate of short-notice canceled appointments in a large national sample of persons with multiple sclerosis (MS) and (2) examine the demographic and clinical factors associated with frequent cancellations. DESIGN Retrospective cross-sectional cohort using electronic health records. SETTING Veterans Health Administration. PARTICIPANTS Veterans with MS (N=3742) who were part of the Veterans Health Administraiton's MS Center of Excellence Data Repository and (1) had at least one outpatient appointment at the VA in 2013, (2) were alive in 2015, and (3) were prescribed a disease modifying therapy (DMT). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Frequent short-notice cancellations, defined as >20% of scheduled appointments canceled with less than 24-hour notification over a 24-month period. This threshold was based on the definition of ≤80% for suboptimal treatment adherence. Several demographics and clinical variables were examined as potential explanatory factors. RESULTS Approximately 75% (n=2827) had at least 1 short-notice cancellation, with more than 3% (n=117) categorized as frequent cancelers. The odds of frequent cancellations were greater in women (odds ratio [OR], 1.81; P=.004) and among 18- to 44-year-olds (OR, 2.77; P=.004) and 45- to 64-year-olds (OR, 2.49; P=.003) compared to those over 65. The odds were lower among persons who lived |
| Databáze: | OpenAIRE |
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