Factors affecting follow-up non-attendance in patients with Type 2 diabetes mellitus and hypertension: a systematic review.

Author: Rayson Rui Sheng LEE ¹ ; Mas'uud Ibnu SAMSUDIN ¹ ; Thiru THIRUMOORTHY ¹ ; Lian Leng LOW ² ; Yu Heng KWAN ¹
Author Information

1. Duke-NUS Medical School, Singapore.
2. Department of Family Medicine and Continuing Care, Singapore General Hospital, Singapore.
Publication Type:Journal Article
Keywords: chronic; diabetes mellitus; follow-up; hypertension; systematic review
From:Singapore medical journal 2019;60(5):216-223
CountrySingapore
Language:English
Abstract: This is a systematic review of the factors and reasons associated with follow-up non-attendance (FUNA) in patients with Type 2 diabetes mellitus and hypertension in an outpatient setting. We performed a systematic literature search using electronic databases and related keywords with the PRISMA-P checklist, focusing on the factors, types of studies and number of studies that showed a positive, negative or neutral association with FUNA. Data was presented in three categories: patient, disease and medication, and healthcare provider factors. In total, 4,822 articles were reviewed. Among the 24 articles that were relevant to the stated objective, 83 factors were found to be associated with FUNA. A target-board model for FUNA was presented for clinicians to better understand the various aspects contributing to and implications involved in FUNA. Greater awareness and understanding of the multifactorial nature of FUNA and taking a multifaceted approach are important to effectively reduce this problem.