Literature DB >> 23199538

Cost implications, deprivation and geodemographic segmentation analysis of non-attenders (DNA) in an established diabetic retinopathy screening programme.

Salman Waqar1, Gill Bullen, Simon Chant, Rabia Salman, Bijay Vaidya, Roland Ling.   

Abstract

AIM: To ascertain the relationship between socioeconomic status and non attendance alongside the role of geodemographic analysis in identifying reasons for non attendance. To also ascertain the financial implications of non attendance on the service.
METHODS: Retrospective analysis of DNA patients between April 2009 and March 2010. Cost to the service was calculated based on Devon Primary Care Trust tariffs. Deprivation Analysis was based on the Indices of Multiple Deprivation 2007 for England. Geodemographic analysis was done using a commercially available software (MOSAIC Public Sector, Experian Information Solutions Inc.).
RESULTS: 22,651 patients were invited for screening with 20,514 screened and 2137 (9.4%) DNA's. Of these, 1757 (82.2%) were DNA 1's while 380 (17.7%) were DNA 2's. Mean age of screened patients was 68 (SD ±14.2), DNA 1's was 62 (SD ±17.3) and DNA 2's was 57 (SD ±18.7).1269 (59%) of DNA's were males and 868 (41%) were females. Cost to the service as calculated by lost earnings from missed appointments came to £78,259. Deprivation analysis showed increasing non attendance rates with increasing deprivation. Geodemographic segmentation analysis revealed that the lowest DNA rates were seen in successful professionals and active retired communities and the highest rates were seen in areas of social housing.
CONCLUSIONS: The study demonstrates an association between non attendance and socioeconomic deprivation. The use of geodemographic analysis programmes can help identify groups that do not respond to traditional postal reminders. More focused and customised strategies can then be developed for these groups to eliminate nonattendance.
Copyright © 2012 Diabetes India. Published by Elsevier Ltd. All rights reserved.

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Year:  2012        PMID: 23199538     DOI: 10.1016/j.dsx.2012.08.009

Source DB:  PubMed          Journal:  Diabetes Metab Syndr        ISSN: 1871-4021


  18 in total

Review 1.  Clinical and Psychosocial Factors Influencing Retinal Screening Uptake Among Young Adults with Type 2 Diabetes.

Authors:  A J Lake; G Rees; J Speight
Journal:  Curr Diab Rep       Date:  2018-05-24       Impact factor: 4.810

2.  Non-attendance at diabetic eye screening and risk of sight-threatening diabetic retinopathy: a population-based cohort study.

Authors:  Alice S Forster; Angus Forbes; Hiten Dodhia; Clare Connor; Alain Du Chemin; Sobha Sivaprasad; Samantha Mann; Martin C Gulliford
Journal:  Diabetologia       Date:  2013-06-22       Impact factor: 10.122

3.  The effect of geodemographic factors on the attendance rates at a regional diabetic retinopathy treatment centre.

Authors:  Emily Greenan; Marisa Salim; Daniel Nicholas Coakley; Mark James
Journal:  Ir J Med Sci       Date:  2019-04-18       Impact factor: 1.568

4.  Automated Reminders Improve Retinal Screening Rates in Low Income, Minority Patients with Diabetes and Correct the African American Disparity.

Authors:  Christina Mehranbod; Pauline Genter; Lilian Serpas; Johana Macias; David Campa; David Bermon; Eli Ipp
Journal:  J Med Syst       Date:  2019-12-09       Impact factor: 4.460

5.  Attitudes, access and anguish: a qualitative interview study of staff and patients' experiences of diabetic retinopathy screening.

Authors:  A E Hipwell; J Sturt; A Lindenmeyer; I Stratton; R Gadsby; P O'Hare; P H Scanlon
Journal:  BMJ Open       Date:  2014-12-15       Impact factor: 2.692

Review 6.  Interventions to increase attendance for diabetic retinopathy screening.

Authors:  John G Lawrenson; Ella Graham-Rowe; Fabiana Lorencatto; Jennifer Burr; Catey Bunce; Jillian J Francis; Patricia Aluko; Stephen Rice; Luke Vale; Tunde Peto; Justin Presseau; Noah Ivers; Jeremy M Grimshaw
Journal:  Cochrane Database Syst Rev       Date:  2018-01-15

7.  Influence of primary care practices on patients' uptake of diabetic retinopathy screening: a qualitative case study.

Authors:  Antje Lindenmeyer; Jackie A Sturt; Alison Hipwell; Irene M Stratton; Nidal Al-Athamneh; Roger Gadsby; Joseph Paul O'Hare; Peter H Scanlon
Journal:  Br J Gen Pract       Date:  2014-08       Impact factor: 5.386

8.  System-level and patient-level explanations for non-attendance at diabetic retinopathy screening in Sutton and Merton (London, UK): a qualitative analysis of a service evaluation.

Authors:  R Strutton; A Du Chemin; I M Stratton; A S Forster
Journal:  BMJ Open       Date:  2016-05-18       Impact factor: 2.692

Review 9.  Conceptualizing type 2 diabetes and its management.

Authors:  Peter Tsasis; Jianhong Wu; Aijun An; Hannah J Wong; Xiandong An; Zhen Mei; Ted Hains
Journal:  J Multidiscip Healthc       Date:  2016-03-26

Review 10.  Health Inequalities Associated with Post-Stroke Visual Impairment in the United Kingdom and Ireland: A Systematic Review.

Authors:  K L Hanna; F J Rowe
Journal:  Neuroophthalmology       Date:  2017-03-01
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