Implementation of a patient reminder system in Haiti in a socio-political crisis context: evaluation of outcomes
| dc.rights.license | open | en_US |
| dc.contributor.author | PRESUME, M. | |
| dc.contributor.author | ALMAZOR, C. P. | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| hal.structure.identifier | Global Health in the Global South [GHiGS] | |
| dc.contributor.author | ALTMANN, Mathias | |
| dc.date.accessioned | 2024-10-14T09:47:13Z | |
| dc.date.available | 2024-10-14T09:47:13Z | |
| dc.date.issued | 2024-08-20 | |
| dc.identifier.issn | 1472-6963 | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/202472 | |
| dc.description.abstractEn | BackgroundIn Haiti, patient's adherence to treatment and compliance with medical appointments are very challenging due to different local factors. We aimed to assess the effectiveness of a reminder system implemented in health facilities in Haiti in a context of socio-political crisis.MethodsWe used appointment data from patients aged 15 years and older between January 2021 and November 2023 from four healthcare centers in the Port-au-Prince metropolitan area. We performed descriptive analysis, crossing covariates with appointment attendance. We performed Pearson's Chi-squared test, and multivariate regression analysis using a mixed-effect logistic regression model in order to explore the association between sending reminders and appointment attendance, with and without adjustment for other patient-level covariates.ResultsA total of 14 108 appointments were registered on the reminder systems, with 2 479 (17.6%) attendances. Among those to whom reminders were sent, the number of attendances was 167 (17.4%) for email recipients only, 199 (36.7%) for SMS recipients only, and 19 (42.2%) for both SMS and email recipients - versus 2 094 (16.7%) for non-reminders. After adjusting on all other covariates, we found that patients to whom a reminder was sent via email (aOR: 1.45; CI: 1.08, 1.94), SMS (aOR: 2.95; CI: 2.41, 3.60), and both SMS and email (aOR: 2.86, CI: 1.37, 5.96) were more likely to show up on their appointment day compared to those who did not receive any reminder. Other socio-demographic factors such as being 50 years and older (aOR: 1.31; CI: 1.10, 1.56) compared to under 30 years, living as couple (aOR: 1.23; CI: 1.10, 1.37), and not having children (aOR: 1.21; CI: 1.07, 1.37) were significantly associated with appointment attendance.ConclusionsOur study suggests that patient reminder systems may be used to reduce non-attendance in Haiti, even in a context of socio-political crisis. | |
| dc.language.iso | EN | en_US |
| dc.rights | Attribution 3.0 United States | * |
| dc.rights.uri | http://creativecommons.org/licenses/by/3.0/us/ | * |
| dc.subject.en | Patient appointment | |
| dc.subject.en | Program evaluation | |
| dc.subject.en | Reminder systems | |
| dc.subject.en | Text messaging | |
| dc.title.en | Implementation of a patient reminder system in Haiti in a socio-political crisis context: evaluation of outcomes | |
| dc.title.alternative | BMC Health Serv Res | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1186/s12913-024-11395-0 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 39164639 | en_US |
| bordeaux.journal | BMC Health Services Research | en_US |
| bordeaux.page | 958 | en_US |
| bordeaux.volume | 24 | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.issue | 1 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.team | GHIGS_BPH | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| bordeaux.identifier.funderID | Institut de Recherche pour le Développement | en_US |
| hal.identifier | hal-04734978 | |
| hal.version | 1 | |
| hal.date.transferred | 2024-10-14T09:47:15Z | |
| hal.popular | non | en_US |
| hal.audience | Internationale | en_US |
| hal.export | true | |
| dc.rights.cc | Pas de Licence CC | en_US |
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