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DNA ("did not attend") at outpatient clinics is an important problem costing the NHS an estimated pound266 million annually. The national DNA rate for 1996-1997 for all clinics was 12%. The DNA rate at Hammersmith Hospital for the same year in the care of the elderly specialty was 21%. The aim of this study was to establish why this was so, and to test the efficacy of a reminder call in increasing attendance rates at care of the elderly clinics.

The effect of reminder calls in reducing non-attendance rates at care of the elderly clinics