{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T17:49:16Z","timestamp":1771004956184,"version":"3.50.1"},"reference-count":54,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T00:00:00Z","timestamp":1703116800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T00:00:00Z","timestamp":1703116800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Telemed Telecare"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<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 in-person 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 versus in-person 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 in-person first appointments. Remote and in-person follow-up appointments were missed at similar rates (10.4% and 10.7%, respectively). For remote and in-person appointments, younger patients, residents of more deprived areas, and patients of Black, Mixed and \u2018other\u2019 ethnicities missed more appointments. Male patients missed more in-person appointments, particularly at younger ages, but gender differences were minimal for remote appointments. Patients with long-term conditions (LTCs) missed more first appointments, whether in-person or remote. In follow-up appointments, patients with LTCs missed more in-person appointments but fewer remote appointments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Remote first appointments were missed more often than in-person first appointments, follow-up appointments had similar attendance rates for both modalities. Sociodemographic differences in outpatient appointment attendance were largely similar between in-person and remote appointments, indicating no widening of inequalities in attendance due to appointment modality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1357633x231216501","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T20:27:05Z","timestamp":1703190425000},"page":"721-731","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Attendance at remote versus in-person outpatient appointments in an NHS Trust"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3170-3211","authenticated-orcid":false,"given":"Gabriele","family":"Kerr","sequence":"first","affiliation":[{"name":"Department of Primary Care and Public Health"},{"name":"Imperial College London"},{"name":"NIHR Applied Research Collaboration Northwest London, London, UK"}]},{"given":"Geva","family":"Greenfield","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health"},{"name":"Imperial College London"},{"name":"NIHR Applied Research Collaboration Northwest London, London, UK"}]},{"given":"Benedict","family":"Hayhoe","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health"},{"name":"Imperial College London"},{"name":"NIHR Applied Research Collaboration Northwest London, London, UK"}]},{"given":"Fiona","family":"Gaughran","sequence":"additional","affiliation":[{"name":"King's College London"},{"name":"South London and Maudsley NHS Foundation Trust"}]},{"given":"Kristoffer","family":"Halvorsrud","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration South London, London, UK"}]},{"given":"Mariana","family":"Pinto da Costa","sequence":"additional","affiliation":[{"name":"King's College London"},{"name":"South London and Maudsley NHS Foundation Trust"},{"name":"NIHR Applied Research Collaboration South London, London, UK"}]},{"given":"Nirandeep","family":"Rehill","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration North Thames, London, UK"}]},{"given":"Rosalind","family":"Raine","sequence":"additional","affiliation":[{"name":"NIHR Applied Research Collaboration North Thames, London, UK"},{"name":"University College London (UCL)"}]},{"given":"Azeem","family":"Majeed","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health"},{"name":"Imperial College London"},{"name":"NIHR Applied Research Collaboration Northwest London, London, UK"}]},{"given":"Ceire","family":"Costelloe","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health"},{"name":"Imperial College London"},{"name":"Institute of Cancer Research, Sutton"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7107-7211","authenticated-orcid":false,"given":"Ana Luisa","family":"Neves","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health"},{"name":"Imperial College London"},{"name":"NIHR Applied Research Collaboration Northwest London, London, UK"}]},{"given":"Thomas","family":"Beaney","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health"},{"name":"Imperial College London"},{"name":"NIHR Applied Research Collaboration Northwest London, London, UK"}]}],"member":"179","published-online":{"date-parts":[[2023,12,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1234-0"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1108\/JHOM-11-2021-0425"},{"key":"e_1_3_3_4_2","unstructured":"NHS England. NHS to trial tech to cut missed appointments and save up to \u00a320 million.https:\/\/www.england.nhs.uk\/2018\/10\/nhs-to-trial-tech-to-cut-missed-appointments-and-save-up-to-20-million\/ [Accessed 01\/08\/2023]."},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2019.101588"},{"key":"e_1_3_3_6_2","volume-title":"Who is least likely to attend? An analysis of outpatient appointment DNA data in NHS Highland","author":"Campbell K","year":"2015","unstructured":"Campbell K, Millard A, McCartney G, et al. Who is least likely to attend? An analysis of outpatient appointment DNA data in NHS Highland. Edinburgh, Scotland: NHS Health Scotland, 2015."},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.176.2.160"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(17)30217-7"},{"key":"e_1_3_3_9_2","unstructured":"NHS England. 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