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Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country
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...
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| Format: | Thesis |
| Language: | English |
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Division of Ophthalmology
2018
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| _version_ | 1867613190898057217 |
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| access_status_str | Open Access |
| author | Malherbe, Lodewicus Francois |
| author2 | Cook, Colin |
| author_browse | Cook, Colin Malherbe, Lodewicus Francois |
| author_facet | Cook, Colin Malherbe, Lodewicus Francois |
| author_sort | Malherbe, Lodewicus Francois |
| collection | Thesis |
| description | 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. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/27434 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:13.078Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2018 |
| publishDateRange | 2018 |
| publishDateSort | 2018 |
| publisher | Division of Ophthalmology |
| publisherStr | Division of Ophthalmology |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/27434 Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country Malherbe, Lodewicus Francois Cook, Colin Ophthalmology 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. 2018-02-09T07:23:33Z 2018-02-09T07:23:33Z 2017 Master Thesis Masters MMed http://hdl.handle.net/11427/27434 eng application/pdf Division of Ophthalmology Faculty of Health Sciences University of Cape Town |
| spellingShingle | Ophthalmology Malherbe, Lodewicus Francois Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country |
| thesis_degree_str | Master's |
| title | Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country |
| title_full | Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country |
| title_fullStr | Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country |
| title_full_unstemmed | Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country |
| title_short | Cataract surgery and non-attendance: RCT to determine the effect of a SMS reminder system and financial impact in a developing country |
| title_sort | cataract surgery and non attendance rct to determine the effect of a sms reminder system and financial impact in a developing country |
| topic | Ophthalmology |
| url | http://hdl.handle.net/11427/27434 |
| work_keys_str_mv | AT malherbelodewicusfrancois cataractsurgeryandnonattendancercttodeterminetheeffectofasmsremindersystemandfinancialimpactinadevelopingcountry |