Characteristics of patients with hypertension and factors associated with missed appointments among hypertensive patients receiving services at Ban Tak Hospital, Tak Province
Keywords:
hypertension, missed appointments, risk factors, blood pressure controlAbstract
This retrospective descriptive study aimed to examine the characteristics of hypertensive patients who missed their appointments and to analyze the factors associated with missed appointments at Ban Tak Hospital, Tak Province. Data were collected from 780 patients between October 2023 and September 2024 using a research instrument developed by the researcher based on a literature review. The instrument's content validity and reliability were both confirmed with coefficients of 1.00. Data were analyzed using descriptive statistics and logistic regression to identify factors associated with missed appointments.
The results showed that most patients who missed their appointments were male (54.6%), with a median age of 60 years. Significant factors associated with missed appointments included having no formal education (aOR = 10.01, p = 0.004), residing in Mae Salit Subdistrict (aOR = 2.70, p = 0.008), having a disease duration of more than five years (aOR = 6.68, p < 0.001), having a comorbidity of stroke (aOR = 4.58, p = 0.026), smoking (aOR = 2.96, p = 0.016), and alcohol consumption (aOR = 2.32, p = 0.041). Factors that reduced the likelihood of missed appointments included older age (each additional year decreased the odds by 0.97; aOR = 0.97, p = 0.033), having a university-level education (aOR = 0.13, p = 0.002), having hyperlipidemia (aOR = 0.08, p = 0.048), and being treated with Atenolol (aOR = 0.14, p = 0.003).
This study highlights that demographic, health-related, and behavioral factors play crucial roles in missed appointments among hypertensive patients. It is recommended that flexible appointment systems, education on the consequences of risky behaviors, and strengthened social and economic support be implemented to reduce missed appointment rates.
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