Broken Appointments at a Neighborhood Health Center

Morse, Denise; Coulter, Molly P.; Napodano, Rudolph J.; Hwang, Hyun-Sook; Lawrence, Cheryl

doi:10.1097/00005650-198409000-00005

Cited by 18 publications

(10 citation statements)

References 6 publications

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“…The criteria for defining missed appointments were the same as in the current study, but the previous study tracked a full year while this study evaluated a more limited 6-week period. It is possible that seasonal variations related to scheduled testing in schools or the local weather, [17][18][19][20] for example, were responsible for the higher rate of failed appointments by non-Medicaid patients in the current study.…”

Section: Discussionmentioning

confidence: 99%

Influence of Patient Financial Account Status on Orthodontic Appointment Attendance

Lindauer

Powell

Leypoldt

et al. 2009

The Angle Orthodontist

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Objective: To test the null hypothesis that the financial status of a patient's orthodontic contract and other patient and appointment characteristics have no influence on appointment attendance. Materials and Methods: During a 6-week period, the last appointment of each active, non-Medicaid patient (n ϭ 538) was recorded as either kept or missed. The financial status of the patient's contract, age, sex, method by which the appointment was made, and the type of appointment scheduled were recorded. Associations between each of these factors and appointment attendance were evaluated using 2 analysis. In the case of patients who missed their appointment, attendance at the subsequent reappointment was also evaluated. Results: The overall appointment failure rate was 12.3%. Males (16.2%) were significantly more likely than females (9.5%) to miss appointments (P ϭ .02). Also, appointments made by postcard (28.2%) were more likely to be missed than those made in person (11.8%) or by phone (6.5%) (P ϭ .003). The most significant factor affecting appointment attendance was the patient's financial status (P ϭ .0001). Patients with accounts that were overdue (33.3%) or in collections (28.6%) were more likely to miss appointments than those whose accounts were current (10.5%). Of patients who missed their appointment (n ϭ 66), 30% also missed the subsequent reappointment. Conclusions: The null hypothesis was rejected. Patients with delinquent financial accounts were three times as likely to miss an orthodontic appointment as those whose contracts were current. Increased rates of missed orthodontic appointments were also found for males, patients scheduled by mailing a postcard, and patients who had missed their previous appointment. (Angle Orthod. 2009;79:755-758.)

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Section: Discussionmentioning

confidence: 99%

Influence of Patient Financial Account Status on Orthodontic Appointment Attendance

Lindauer

Powell

Leypoldt

et al. 2009

The Angle Orthodontist

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“…It has been reported that the proportion of broken appointments can be as high as 84 percent. 1,2 As with every organization concerned with providing best dental services, dental school at King Saud University (KSU) in Riyadh City, Saudi Arabia, serves students and patients. The cost of dental services is subsidized by the dental school.…”

mentioning

confidence: 99%

Appointments Failure Among Female Patients at a Dental School Clinic in Saudi Arabia

Albarakati

2009

Journal of Dental Education

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The aim of the study was to assess the factors and reasons responsible for failed appointments among female patients attending a dental school clinic. A cross-sectional survey was conducted at the College of Dentistry in Riyadh city on 200 patients who failed to keep their appointments at least one time. The data were collected using a structured, pretested questionnaire through a telephone interview method from January through May 2007. The selected sample was in the age group of fourteen years and older. The response rate was 86 percent. The results illustrated that most of the patients who broke their appointments were married, housewives, above forty years in age, and of low to middle socioeconomic status. It was found that the most common reasons for failed appointments were fasting in the Holy month of Ramadan (79.1 percent) followed by transportation difficulty (76.2 percent), inconvenient appointment time (65.1 percent), and dissatisfaction of communication with booking area (54.1 percent).

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“…Medical research has acknowledged the prevalence of patient dropouts and broken appointments, including the higher rates for children . With the exception of research concerning dental anxiety, literature about dental appointment patterns of children is limited to Norwegian studies .…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, even when a racial/ethnicity category exists in a dental claims database, this variable may not be recorded completed or it may be determined by someone other than the patient/family. Medical research has acknowledged the prevalence of patient dropouts and broken appointments, including the higher rates for children (27,28). With the exception of research concerning dental anxiety, literature about dental appointment patterns of children is limited to Norwegian studies (29,30).…”

Section: Discussionmentioning

confidence: 99%

Periodicity of dental recall visits for young children first seen in community health centers

Kuthy

Kavand

Momany

et al. 2013

J Public Health Dent

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Objectives To study whether young children who had their first dental visit (FDV) at a Federally Qualified Health Center (FQHC) are likely to return within 12 months for a second dental episode. Methods 200 Medicaid-enrolled children who were less than 6-years-old were randomly selected from five Iowa FQHCs. Dental charts were abstracted and all Medicaid claims data, regardless of provider, were followed for 36 months. Medical and dental Medicaid claims data were also appended to the data set, along with relevant data from the child’s birth certificate. Multivariable logistic regression, using backward elimination, was used to determine variables that predicted whether a child returned for his or her dental recall visit with one year of the initial dental episode. Results 56.5% of these children returned within one year. The number of children in the household demonstrated a positive impact for children returning for a second dental episode. However, an increase in the frequency of medical well-child visits at the FQHC prior to the FDV had a negative influence. There was an inverse association between dental caries at the FDV and likelihood of returning for the second visit; however, it was not statistically significant. Age at FDV did not make a difference in regard to returning for a second episode within the allotted time period. Conclusions There has been a recent emphasis for children to visit a dentist by age 1. We should not overlook the importance of diligently working with higher risk families to instill the importance of regular, periodic preventive dental care.

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Broken Appointments at a Neighborhood Health Center

Cited by 18 publications

References 6 publications

Influence of Patient Financial Account Status on Orthodontic Appointment Attendance

Influence of Patient Financial Account Status on Orthodontic Appointment Attendance

Appointments Failure Among Female Patients at a Dental School Clinic in Saudi Arabia

Periodicity of dental recall visits for young children first seen in community health centers

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