University College Hospital, Ibadan, Nigeria.
University of Ibadan, Ibadan, Nigeria.
Community Ment Health J. 2021 Nov;57(8):1518-1524. doi: 10.1007/s10597-020-00768-4. Epub 2021 Jan 7.
We examined frequency and reasons for dropout from follow-up care at an outpatient mental health service for older people in South-Western Nigeria. This was a cross-sectional study. Administrative reviews of 201 case records of clinic attendees who received a psychiatric diagnosis that required follow-up consultations were conducted. Records were those of patients seen between January 2015 and December 2017. Chart extraction was followed by Key Informant Interview (KII) to explore the reasons for drop out and partial non-attendance. We identified 37(18.4%) regular clinic attendees, as well as 147(73.1%) and 17(8.5%) dropout and partially attending patients, respectively. Approximately 45.6% of the dropouts occurred after the first consultation. In KII, distance from the hospital, long waiting times and financial constraints were the common reasons for dropout. The findings of this study should inform the development of strategies to improve access to mental health services in Nigeria and other low- and middle-income countries.
我们调查了尼日利亚西南部一家老年人门诊心理健康服务机构随访护理中辍的频率和原因。这是一项横断面研究。对 201 名接受需要随访咨询的精神科诊断的门诊就诊者的病例记录进行了行政审查。记录的是 2015 年 1 月至 2017 年 12 月期间就诊的患者。在进行关键信息访谈（KII）以探讨辍学和部分缺勤的原因之前，先进行图表提取。我们确定了 37 名（18.4%）定期到诊所就诊的患者，以及 147 名（73.1%）和 17 名（8.5%）辍学和部分就诊的患者。大约 45.6%的辍学发生在第一次就诊之后。在 KII 中，距离医院远、等待时间长和经济拮据是辍学的常见原因。本研究的结果应能为制定战略提供信息，以改善尼日利亚和其他低收入和中等收入国家获得精神卫生服务的机会。
