Factors contributing to nonadherence to follow-up appointments in a resident glaucoma clinic versus primary eye care clinic

Scott J. Fudemberg, Brian Lee, Michael Waisbourd, Rachel A. Murphy, Yang Dai, Benjamin E. Leiby, Lisa A. Hark

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To determine the rate of adherence to follow-up appointment recommendations in a resident glaucoma clinic with no mechanism for reminders, compared to a resident cataract and primary eye care (CPEC) clinic in which telephone reminders were used, and to identify factors that contribute to adherence in each patient group. Methods: This retrospective cohort study included subjects in the CPEC clinic who received telephone reminders and those in the glaucoma clinic who did not. Each sample was selected to have a similar proportion of follow-up recommendations for 1, 3, and 6 months. Subjects were considered adherent if they returned within a specified timeframe. Results: A total of 144 subjects from the glaucoma clinic and 151 subjects from the CPEC clinic were included. There was no significant difference between follow-up adherence rates of patients who received telephone reminders and those who did not (odds ratio [OR] =1.35, 95% confidence interval [CI] 0.79–2.32, P=0.28). Patients who were on more than two ocular medications were more likely to return for follow-up (OR=3.11, 95% CI 1.53–6.35, P=0.0018). Subjects between the ages 50 and 80 years were more likely to be adherent compared to their younger and older peers (P=0.02). Conclusion: The follow-up adherence of patients in a CPEC clinic who received telephone reminders was similar to patients in a glaucoma clinic who did not receive any intervention to increase their adherence. Younger (<50 years old) and elderly (>80 years old) subjects, as well as patients using less than two glaucoma medications, were less likely to adhere to their follow-up appointments.

Original languageEnglish
Pages (from-to)19-25
Number of pages7
JournalPatient Preference and Adherence
Volume10
DOIs
StatePublished - 8 Jan 2016
Externally publishedYes

Keywords

  • Age
  • Glaucoma
  • Medications
  • Patient adherence
  • Retrospective studies
  • Telephone reminders

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