Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country

 

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dc.contributor.advisor Cook, Colin en_ZA
dc.contributor.author Malherbe, Lodewicus Francois en_ZA
dc.date.accessioned 2018-02-09T07:23:33Z
dc.date.available 2018-02-09T07:23:33Z
dc.date.issued 2017 en_ZA
dc.identifier.citation Malherbe, L. 2017. Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/27434
dc.description.abstract AIMS: Missed cataract surgical appointments are an important cause of inefficiency, with delays in appropriate treatment, loss of continuity of care, and wasted resources. This study was conducted to determine if an SMS reminder system will reduce the failure to attend (FTA) rate by our patients who are booked for cataract surgery. METHODS: A randomised controlled trial was conducted at Groote Schuur Hospital between June 2015 and June 2016. Eligible patients were randomised into one of two study groups: either the "NO reminder control group "or the "SMS reminder intervention group". Patients in the SMS reminder group were entered into a secure web platform from which the automated SMS reminder system dispatched an SMS reminder one month, four days and one day pre-operatively between 10am and 12am. The message contained the following: "Dear "Mr/Mrs name", this is to confirm your cataract surgery at Groote Schuur Hospital, booked for "date". Please phone 021 404 3541 if any queries." RESULTS: 234 patients were enrolled into this study, and 15 patients were excluded. Of the remaining 219 patients, 111 were randomised into the NO reminder group (control) and 108 into the SMS reminder group (intervention). SMS reminders reduced the FTA rate by 52.6% from 11.7% to 5.6% (p=0.11). Transport problems were identified as the most common reason for non-attendance. CONCLUSION: An SMS reminder system aids in the reduction of non-attendance for booked cataract surgery. With an estimated cost of only 54 cents for three SMS reminders, this affordable intervention results in an improved efficiency of clinical service delivery. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Ophthalmology en_ZA
dc.title Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Ophthalmology en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MMed en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Malherbe, L. F. (2017). <i>Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Ophthalmology. Retrieved from http://hdl.handle.net/11427/27434 en_ZA
dc.identifier.chicagocitation Malherbe, Lodewicus Francois. <i>"Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Ophthalmology, 2017. http://hdl.handle.net/11427/27434 en_ZA
dc.identifier.vancouvercitation Malherbe LF. Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Ophthalmology, 2017 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/27434 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Malherbe, Lodewicus Francois AB - AIMS: Missed cataract surgical appointments are an important cause of inefficiency, with delays in appropriate treatment, loss of continuity of care, and wasted resources. This study was conducted to determine if an SMS reminder system will reduce the failure to attend (FTA) rate by our patients who are booked for cataract surgery. METHODS: A randomised controlled trial was conducted at Groote Schuur Hospital between June 2015 and June 2016. Eligible patients were randomised into one of two study groups: either the "NO reminder control group "or the "SMS reminder intervention group". Patients in the SMS reminder group were entered into a secure web platform from which the automated SMS reminder system dispatched an SMS reminder one month, four days and one day pre-operatively between 10am and 12am. The message contained the following: "Dear "Mr/Mrs name", this is to confirm your cataract surgery at Groote Schuur Hospital, booked for "date". Please phone 021 404 3541 if any queries." RESULTS: 234 patients were enrolled into this study, and 15 patients were excluded. Of the remaining 219 patients, 111 were randomised into the NO reminder group (control) and 108 into the SMS reminder group (intervention). SMS reminders reduced the FTA rate by 52.6% from 11.7% to 5.6% (p=0.11). Transport problems were identified as the most common reason for non-attendance. CONCLUSION: An SMS reminder system aids in the reduction of non-attendance for booked cataract surgery. With an estimated cost of only 54 cents for three SMS reminders, this affordable intervention results in an improved efficiency of clinical service delivery. DA - 2017 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country TI - Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country UR - http://hdl.handle.net/11427/27434 ER - en_ZA


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