Rate of Appointment Postponing in Department of Surgery, Faculty of Medicine, Khon Kaen University

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Pochavit Aphinives
Sarakjit Srimongkol
Tanachai Thanyakunsajjia
Kanita Chardee
Anchalee Taksinamanee
Vajarabhongsa Bhudhisawasdi

Abstract

Objective: To study the rate of appointment postponing in Department of Surgery.

Design : Retrospective, descriptive study.

Setting : Surgical OPD, Srinagarind hospital, Faculty of Medicine, Khon Kaen University.

Subjects : All patients who have appointment  with Department of Surgery during January 1, 1996 and December 31, 1996.

Data collection: Review from the appointment book, database of Srinagarind hospital, and cards of medical record.

Measurement: Descriptive statistics, including number, percentages, and means.

Results: The appointment postponing occurred in 1,295 cases out of  2,402 patients (53.91%). These were divied in to 5 groups according to numbers of postponing: one time  1,064 cases (44.30%) , two times 175 cases (7.29%), three time 47 cases (1.96%), four time 6 cases (0.25%), and five times 3 cases (0.12%). The highest incidence of posponing occurred in the 3rd trimester (28.03%), while the lowest incidence occurred in the 1st trimester (22.24%). Postponin incidence mostly occurred in cardiovascular & thoracic surgery  62.07% (288/464), while the postpoing incidence was lowest in pediatric surgery 32.58% (130/399). The causes  of appointment postponing were 1) surgeons only 613 cases (47.34%), 2) patients only 563  cases (43.47%), and 3) both surgeons and patients  119 cases (9.19%). The division of which the surgeon was the major cause of postponing was neuro surgery (81.82%), in contrast with general surgery 2 (34.21%).

Conclusions: The incidence of appointment postponig in Department of Surgery is 53.91% in 1996. Causes of postponment is similar from surgeon and patients. Neurosurgery has the highest incidence of postpoing from surgeon, while general surgery 2 has the lowest incidence.  The highest incidence of postponing is in the 3rd trimester.

Keywords :             (1)   Appointment postponing

(2)     Outpatient

(3)     Surgery

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