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

Fiorillo, Caitlin E.; Hughes, Allyson L.; Chen, I‐Chen; Westgate, Philip M.; Gal, Thomas J.; Bush, Matthew L.; Comer, Brett T.

doi:10.1002/lary.26816

Cited by 56 publications

(92 citation statements)

References 24 publications

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“…9 Our group recently completed a study of nearly 23 000 patient visits and found several factors related to noshow rates in the academic otolaryngology setting as listed above. 2 What factors to target to decrease no-show rates is clearly a very complex question. The present review of data was not designed to answer this question but rather to report baseline data in the hospital-employed, nonacademic physician practice.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, we found a no-show rate of 8.4%, which is much lower than other reported no-show rates within academic otolaryngology practices. 1,2 This may be due to the patient population or geographical practice setting. However, this lower rate may be secondary to the preappointment reminders utilized in this practice.…”

Section: Discussionmentioning

confidence: 99%

“…1 Our group recently completed a study of nearly 23 000 patient visits examining and identifying factors associated with no-show visits in the academic otolaryngology setting. 2 The data in the academic otolaryngology setting found that satellite clinics, new patient visits, younger age of patients, and Medicaid insurance status were associated with reduced adherence to clinic visits. To the best of our knowledge, there are no data to published that examine no-show rates specifically in the hospital-employed otolaryngology practice model outside of the academic setting.…”

Section: Introductionmentioning

confidence: 99%

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No-Show Rates in Employed Otolaryngology Practice

et al. 2019

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Objective: To report baseline no-show rates in the hospital-employed otolaryngology practice setting and to identify factors that may affect clinic show rates that are targets for potential improvement. Study Design: Retrospective chart review. Methods: Electronic medical records from October 2012 through July 2014 of a hospital-employed otolaryngology practice were reviewed. Patients were classified by insurance type: commercial, Medicare, Medicaid, and self-pay. Clinic visits were classified as new patient, follow-up, or postoperative. No-show rates were tabulated for each type of clinic visit and compared. Factors to improve no-show rates are discussed. Results: There was an overall no-show rate of 8.3% for 5817 scheduled clinic visits. Among visit types, follow-up visits had the highest no-show rates. Among insurance types, Medicaid had the highest no-show rates. New patient Medicaid patients, follow-up Medicaid patients, and follow-up commercial insurance patients had the highest rate of no-shows among visit/insurance type combinations. Persistent reminders are a key factor in improving rate of clinic visit adherence. Conclusion: A previously unreported baseline no-show rate was established for hospital-employed otolaryngology clinics. The utilization of repeated, live-person reminders to mitigate the impact of clinic no-show rates needs to be further investigated.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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No-Show Rates in Employed Otolaryngology Practice

et al. 2019

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“…1 Consequences of appointment nonadherence include lost revenue and worsened patient outcomes. Several studies have identified factors associated with increased no-show rates, [2][3][4] including prior history of missed appointments, new patient visits, time between scheduling and actual appointment, and insurance provider. 3,4 Most studies focusing on this topic have been performed in nonacademic primary care clinics, and little data exist on factors specific to pediatric dermatology.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have identified factors associated with increased no-show rates, [2][3][4] including prior history of missed appointments, new patient visits, time between scheduling and actual appointment, and insurance provider. 3,4 Most studies focusing on this topic have been performed in nonacademic primary care clinics, and little data exist on factors specific to pediatric dermatology. 4,5 Due to the paucity of board-certified pediatric dermatologists, it is important to reduce appointment nonadherence in order to optimize the number of patients with access to pediatric dermatology services.…”

Section: Introductionmentioning

confidence: 99%

The impact of personalized reminders in addition to an automated patient reminder system on pediatric dermatology no‐show rates: A pilot study

Snodgrass

Schoch

2019

Pediatric Dermatology

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We investigated the impact of a personalized telephone call reminder for patients that had not confirmed their clinic appointment, in addition to automated reminders, on monthly no‐show rates. Our data revealed a reduction in the monthly no‐show rate from 16.0% (SD = 3.91%) before the intervention to 13.1% (SD = 0.27%, P = 0.0997) after the intervention, which was not statistically significant. The standard deviation of the no‐show rate with the intervention was reduced, leading to a predictable monthly no‐show rate (range 12.93%‐13.51%). Thus, the number of patients attending clinic was more predictable. This study highlights the need for additional investigation of factors associated with appointment nonadherence in pediatric dermatology.

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Factors Contributing to Missed Appointments in a Pediatric Otolaryngology Clinic

et al. 2021

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Objective To understand why pediatric otolaryngology patients do not attend scheduled clinic appointments and identify factors correlated with no‐show status. Study Design Retrospective cohort study. Methods This is a retrospective cohort study that uses medical record data extraction of patients that was scheduled to attend new patient appointments at a pediatric otolaryngology clinic in 2018. Results Factors associated with no‐shows included complex psychiatric history (OR (95% CI) 0.789 (0.71–0.88), P < .001), increased appointment lead time (OR (95% CI) 0.981 (0.976–0.987), P < .001), afternoon appointments (OR (95% CI) 0.783 (0.64–0.99), P = .038), and complex maternal medical history (OR (95% CI) 0.987 (0.979–0.996), P < .005). In contrast, factors associated with attendance included complex patients’ medical history (OR (95% CI) 1.058 (0.98–1.02), P < .001), primary care physician at the same hospital (OR (95% CI) 2.766 (2.25–3.39), P < .001), and primary language being Spanish (OR (95% CI) 2.536 (1.75–3.67) P < .001). The factors of distance from the hospital (OR (95% CI) 1.001 (0.99–1.01), P = .868), season of appointment (P = .997), race (P = .623), and ethnicity (P = .804) were not associated with attendance or no‐shows. Conclusion Patient and maternal medical problems, mental health history, primary care location, appointment lead time, hour of appointment, and primary language, all contribute to appointment attendance, while appointment timing, race, and ethnicity are not associated with attendance. Further work must be performed to overcome these barriers to minimize healthcare risks and improve patient outcomes. Quality of Evidence Level 3 Laryngoscope, 132:895–900, 2022

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

Abstract: 4. Laryngoscope, 128:626-631, 2018.

Cited by 56 publications

References 24 publications

No-Show Rates in Employed Otolaryngology Practice

No-Show Rates in Employed Otolaryngology Practice

The impact of personalized reminders in addition to an automated patient reminder system on pediatric dermatology no‐show rates: A pilot study

Factors Contributing to Missed Appointments in a Pediatric Otolaryngology Clinic

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