Missed appointments in an adolescent outpatient clinic: descriptive analyses of consultations over 8 years.

Chariatte, Vincent; Michaud, Pierre‐André; Berchtold, André; Akré, Christina; Surı́s, Joan-Carles

doi:10.4414/smw.2007.12050

Cited by 21 publications

(8 citation statements)

References 21 publications

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“…Some pointed out that there is little evidence of the effectiveness of non-attendance fees and made the claim that patient non-attendance is inevitable because of unforeseeable events in patients’ lives. This argument is in line with previous studies 1 13 16–18. There is no agreement in the literature regarding how much non-attendance rates can be expected to be reduced 1 13…”

Section: Discussionsupporting

confidence: 83%

“…Policy makers have noted the viability of implementing patient fees as a means of reducing the rate of patients not attending their appointments without notice 1 13–18. The expectation is that a fee will make the monetary costs of non-attendance exceed the benefits for the patient and discourage them from not keeping their appointments 1.…”

Section: Introductionmentioning

confidence: 99%

“…Two main arguments contribute to explain this controversy. First, it is not well documented if a patient non-attendance fee actually reduces the rate of non-attendance, and the effectiveness of this measure in meeting the goal of efficient use of healthcare resources is debated 13 16–18. Second, concerns have been raised whether the fee may disproportionally affect socially less advantaged groups in society 13 19–22.…”

Section: Introductionmentioning

confidence: 99%

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Mapping out the arguments for and against patient non-attendance fees in healthcare: an analysis of public consultation documents

Fystro

Feiring

2023

J Med Ethics

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BackgroundPatients not attending their appointments without giving notice burden healthcare services. To reduce non-attendance rates, patient non-attendance fees have been introduced in various settings. Although some argue in narrow economic terms that behavioural change as a result of financial incentives is a voluntary transaction, charging patients for non-attendance remains controversial. This paper aims to investigate the controversies of implementing patient non-attendance fees.ObjectiveThe aim was to map out the arguments in the Norwegian public debate concerning the introduction and use of patient non-attendance fees at public outpatient clinics.MethodsPublic consultation documents (2009–2021) were thematically analysed (n=84). We used a preconceived conceptual framework based on the works of Grant to guide the analysis.ResultsA broad range of arguments for and against patient non-attendance fees were identified, here referring to the acceptability of the fees’ purpose, the voluntariness of the responses, the effects on the individual character and institutional norms and the perceived fairness and comparative effectiveness of patient non-attendance fees. Whereas the aim of motivating patients to keep their appointments to avoid poor utilisation of resources and increased waiting times was widely supported, principled and practical arguments against patient non-attendance fees were raised.ConclusionA narrow economic understanding of incentives cannot capture the breadth of arguments for and against patient non-attendance fees. Policy makers may draw on this insight when implementing similar incentive schemes. The study may also contribute to the general debate on ethics and incentives.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mapping out the arguments for and against patient non-attendance fees in healthcare: an analysis of public consultation documents

Fystro

Feiring

2023

J Med Ethics

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“…Somewhat similarly, in the healthcare industry, Chariatte et al. (2007) found no significant effect of introducing a punishment, a no‐show fine, on NSB in Europe. However, an alternative explanation for the lack of effectiveness might be that the perceived cost of NSB might have just not been high enough to alter their behavior in the short term.…”

Section: Analysis Synthesis and Discussionmentioning

confidence: 95%

“…For instance, while Snyder et al (2014) observe an adverse effect of a compulsory attendance policy, that is, a punishment following more than three no-show appearances by a grade penalty, on student NSB in a quasi-experimental design, referring heavy truants to the community police was unsuccessful in reducing NSB (McCluskey et al, 2004). Somewhat similarly, in the healthcare industry, Chariatte et al (2007) found no significant effect of introducing a punishment, a no-show fine, on NSB in Europe. However, an alternative explanation for the lack of effectiveness might be that the perceived cost of NSB might have just not been high enough to alter their behavior in the short term.…”

Section: Negative and Positive Incentive Mechanismsmentioning

confidence: 99%

What do we know about no‐show behavior? A systematic, interdisciplinary literature review

Amberger

Schreyer

2022

Journal of Economic Surveys

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No‐show behavior, a distinct form of absenteeism, is often problematic, particularly in the service industry. Given the growing relevance of the phenomenon in the industry, an increasing number of researchers from such different disciplines as educational economics, healthcare management research, and sports economics have begun examining both the potential antecedents and measures to counteract no‐show behavior, recently. Although the continuously growing body of literature on no‐show behavior has been reviewed before, most such previous attempts were neither interdisciplinary nor systematic, sometimes lacking both completeness and thoroughness. In this article, we address this gap in the still‐emerging literature by providing a systematic, interdisciplinary review of the literature. We observe that, although the potential antecedents are manifold and not always neatly comparable across the different industries, there still exist commonalities, most of which are related to product characteristics and the opportunity costs arising from physical attendance. In contrast, although we document a promising effect of exploiting reminders in reducing no‐show behavior, our understanding of the effectiveness of potential countermeasures is less pronounced.

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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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Missed appointments in an adolescent outpatient clinic: descriptive analyses of consultations over 8 years.

Cited by 21 publications

References 21 publications

Mapping out the arguments for and against patient non-attendance fees in healthcare: an analysis of public consultation documents

Mapping out the arguments for and against patient non-attendance fees in healthcare: an analysis of public consultation documents

What do we know about no‐show behavior? A systematic, interdisciplinary literature review

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

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