{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T12:23:29Z","timestamp":1768566209078,"version":"3.49.0"},"posted":{"date-parts":[[2023,9,26]]},"group-title":"Public and Global Health","reference-count":41,"publisher":"openRxiv","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2023,9,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>With the growing use of remote appointments within the National Health Service, there is a need to understand potential barriers of access to care for some patients. In this observational study we examined missed appointments rates, comparing remote and face-to-face appointments among different patient groups.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We analysed adult outpatient appointments at Imperial College Healthcare NHS Trust in Northwest London in 2021. Rates of missed appointments per patient were compared between remote vs. face-to-face appointments using negative binomial regression models. Models were stratified by appointment type (first or a follow-up).<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 874,659 outpatient appointments for 189,882 patients, 29.5% of whom missed at least one appointment. Missed rates were 12.5% for remote first appointments and 9.2% for face-to-face first appointment. Remote and face-to-face follow-up appointments were missed at similar rates (10.4% and 10.7%, respectively). For remote and face-to-face appointments, younger patients, residents of more deprived areas, and patients of Black, Mixed, and \u2018other\u2019 ethnicities missed more appointments. Male patients missed more face-to-face appointments, particularly at younger ages, but gender differences were minimal for remote appointments. Patients with long-term conditions (LTCs) missed more first appointments, whether face-to-face or remote. In follow-up appointments, patients with LTCs missed more face-to-face appointments but fewer remote appointments.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Remote face-to-face appointments were missed more often than face-to-face first appointments, follow-ups appointments had similar attendance rates for both modalities. Sociodemographic differences in outpatient appointment attendance were largely similar between face-to-face and remote appointments, indicating no widening of inequalities in attendance due to appointment modality.<\/jats:p>\n                <\/jats:sec>","DOI":"10.1101\/2023.09.22.23295958","type":"posted-content","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T23:15:17Z","timestamp":1695770117000},"source":"Crossref","is-referenced-by-count":1,"title":["Attendance at remote versus face-to-face outpatient appointments in an NHS Trust"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3170-3211","authenticated-orcid":false,"given":"Gabriele","family":"Kerr","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9779-2486","authenticated-orcid":false,"given":"Geva","family":"Greenfield","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2645-6191","authenticated-orcid":false,"given":"Benedict","family":"Hayhoe","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7414-5569","authenticated-orcid":false,"given":"Fiona","family":"Gaughran","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8813-0939","authenticated-orcid":false,"given":"Kristoffer","family":"Halvorsrud","sequence":"additional","affiliation":[]},{"given":"Mariana Pinto","family":"da Costa","sequence":"additional","affiliation":[]},{"given":"Nirandeep","family":"Rehill","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0904-749X","authenticated-orcid":false,"given":"Rosalind","family":"Raine","sequence":"additional","affiliation":[]},{"given":"Azeem","family":"Majeed","sequence":"additional","affiliation":[]},{"given":"Ceire","family":"Costelloe","sequence":"additional","affiliation":[]},{"given":"Ana Luisa","family":"Neves","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9709-7264","authenticated-orcid":false,"given":"Thomas","family":"Beaney","sequence":"additional","affiliation":[]}],"member":"54368","reference":[{"key":"2023093005300612000_2023.09.22.23295958v1.1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1234-0"},{"issue":"7","key":"2023093005300612000_2023.09.22.23295958v1.2","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1108\/JHOM-11-2021-0425","article-title":"Causes, impacts and possible mitigation of non-attendance of appointments within the National Health Service: a literature review","volume":"36","year":"2022","journal-title":"Journal of Health Organization and Management"},{"key":"2023093005300612000_2023.09.22.23295958v1.3","unstructured":"NHS England. 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