Characteristics and Direct Costs of Academic Pediatric Subspecialty Outpatient No-Show Events

Perez, Felipe D.; Xie, James; Sin, Aaron; Tsai, Raymond; Sanders, Lee; Cox, Ken; Haberland, Corinna; Park, KT

doi:10.1111/jhq.12007

Cited by 35 publications

(59 citation statements)

References 22 publications

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“…This represents an additional loss of health care resources, as many of these appointments went unfilled, and a consequent reduction in generation of relative value units for this dermatology practice. Earlier reports have found increased nonattendance during summer months; the cause of significantly increased nonattendance during the winter and spring months noted here is unclear but may be related to weather factors for which we did not control …”

Section: Discussioncontrasting

confidence: 67%

“…Earlier reports have found increased nonattendance during summer months; the cause of significantly increased nonattendance during the winter and spring months noted here is unclear but may be related to weather factors for which we did not control. 10 That the mean wait time at this practice was nine days longer than the national average may be related to practice affiliation with an urban tertiary care pediatric center and increased demand. 7 This may also account for why the nonattendance rate of 28 percent noted here was greater than that noted in previous studies of 15-25 percent.…”

Section: Effect Of Wait Time On Nonattendancementioning

confidence: 93%

“…Another consequence of these long wait times is that patients may ultimately not attend scheduled appointments . Depending on practice size, the nonattendance rate at pediatric dermatology clinics ranges from 15 to 25 percent .…”

Section: Introductionmentioning

confidence: 99%

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Wait times, health care touchpoints, and nonattendance in an academic pediatric dermatology clinic

Stephens

Murthy

McMahon

2019

Pediatric Dermatology

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Background and objectives Timely access to pediatric dermatology care remains a challenge. While awaiting appointments, many patients and families utilize so‐called health care touchpoints outside of the dermatology clinic such as primary care or emergency department visits to address dermatologic concerns. Long waiting periods also factor into nonattendance rates at pediatric dermatology appointments. This observational retrospective study investigated wait times, relevant health care touchpoints, and factors related to nonattendance at a pediatric dermatology clinic. Methods We reviewed demographic, health care touchpoint, and nonattendance data for patients referred by a primary care affiliate to the Children's Hospital of Philadelphia (CHOP) pediatric dermatology clinic from February 2016 to May 2017. Descriptive statistics were used to identify trends among analyzed variables. Results We reviewed 250 patient records. The average number of touchpoints per patient was 0.56, and factors that significantly correlated with increased numbers of touchpoints included younger patient age and longer wait time while payer, primary diagnosis, and time of year were not associated. The nonattendance rate was 26%, and factors significantly associated with increased nonattendance rate included longer wait times and winter and spring appointments. Conclusion Long wait times impact numbers of touchpoints and appointment attendance rate when referring to pediatric dermatology. A platform such as teledermatology may represent an opportunity to improve access to care by allowing for earlier input from the pediatric dermatologist.

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Section: Discussioncontrasting

confidence: 67%

Section: Effect Of Wait Time On Nonattendancementioning

confidence: 93%

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Wait times, health care touchpoints, and nonattendance in an academic pediatric dermatology clinic

Stephens

Murthy

McMahon

2019

Pediatric Dermatology

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“…Many factors including insurance type, age, ethnicity, diagnosis, clinical setting, visit type, and time, day, and season of clinic visit have been associated with increased no‐show rates. However, most of these studies have been performed in the pediatric or medicine specialties, or outside of the United States, making them less applicable to the current US system. This review demonstrates that new patient visits, satellite clinics, younger age, and Medicaid insurance are associated with reduced attendance at scheduled appointments within an academic otolaryngology setting.…”

Section: Discussionmentioning

confidence: 99%

“…Nonadherence, or no‐show, appointments are defined as missed clinic appointments where a patient does not notify the provider ahead of time that he or she will not be attending the appointment. Patient no‐show rates vary by specialty and other factors but have been reported to range from 7% to 33% . Nonadherence to attend scheduled clinic appointments may detrimentally impact delivery of care to patients on multiple levels.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with patient no‐show rates in an academic otolaryngology practice

et al. 2017

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Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics

Hirsh-Yechezkel

Glasser

Gabis

et al. 2022

Health Planning & Management

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Introduction Missed appointments (MAs) at child development centres (ChDCs) cause multiple problems: they preclude timely diagnosis and treatment of both the invited child and children whose appointment was delayed due to overbooking, as well as disrupting efficient organisational management. The aim of this study was to assess the rate and describe the reasons for missed appointments at Israeli ChDCs, and to evaluate the association of socio‐demographic, clinical, and administrative variables with MA rates. Methods This nested case‐control study included all children scheduled for initial appointments (N = 1143) at three centres during 1 year. Parents of children who missed their appointment and a sample of those who attended were interviewed by telephone. Results The rate of missed appointments was 26.6%, and the most frequent reasons were unexpected events (26.0%) and lack of insurance coverage (23.4%). Variables associated with lower MA rates were: having had ≥3 types of rehabilitative interventions (odds ratios (OR) = 0.26; 95% confidence interval [CI] 0.16–0.44), detailed referral letter (OR = 0.48; 95%CI 0.30–0.75), telephone reminder (OR = 0.37; 95%CI 0.24–0.57) and health maintenance organisations or private insurance coverage (OR = 0.12; 95%CI 0.06–0.17 and OR = 0.56; 95% CI 0.38–0.89, respectively). Conclusion Encouraging physician's referral letters and personal‐contact reminders can reduce missed appointments. Understanding the family's and the child's personal characteristics, and the organisational/administrative aspects of missed appointments may guide efforts to ensure timely care for every child.

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Characteristics and Direct Costs of Academic Pediatric Subspecialty Outpatient No-Show Events

Abstract: Pediatric subspecialty NS events are common, costly, and potentially preventable.

Cited by 35 publications

References 22 publications

Wait times, health care touchpoints, and nonattendance in an academic pediatric dermatology clinic

Wait times, health care touchpoints, and nonattendance in an academic pediatric dermatology clinic

Factors associated with patient no‐show rates in an academic otolaryngology practice

Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics

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