Missed Appointments: Factors Contributing to High No-Show Rates in an Urban Pediatrics Primary Care Clinic

Ronald C. Samuels, Valerie L. Ward, Patrice Melvin, Michael Macht-Greenberg, Larissa M. Wenren, Jessica Yi, Gordon Massey, Joanne E. Cox

Research output: Contribution to journalArticlepeer-review

64 Scopus citations

Abstract

Background. Missed appointments complicate primary care services. Objective. To determine factors associated with missed pediatric appointments. Design/Methods. A convenience sample of 1537 patients who missed appointments were called and 386 (25%) families completed the 26-item survey. Those with high no-show rates were compared with the rest using X2 and Fishers exact tests. Initial covariates with P <.2 were included in a multivariate logistic regression model. Results. Common reasons for missing appointments were the following: forgot (27%), transportation problems (21%), and time off of work (14%). The high no-show group had more African Americans (P =.030) and older patients (P =.003). Higher no-show rates correlated with well child visits (P =.029) and perception of excellent health (P =.022). In the logistic regression model, well child appointments (odds ratio = 2.56) and increasing age in years (odds ratio = 1.11) were associated with higher no-show rates. Conclusions. Efforts to decrease no-show rates should target older patients and well child visits.

Original languageEnglish (US)
Pages (from-to)976-982
Number of pages7
JournalClinical Pediatrics
Volume54
Issue number10
DOIs
StatePublished - Sep 19 2015
Externally publishedYes

Keywords

  • appointments and schedules
  • missed appointments
  • pediatric care
  • primary health care

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Fingerprint

Dive into the research topics of 'Missed Appointments: Factors Contributing to High No-Show Rates in an Urban Pediatrics Primary Care Clinic'. Together they form a unique fingerprint.

Cite this