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

doi:10.1177/0009922815570613

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 journal › Article › peer-review

86 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 language	English (US)
Pages (from-to)	976-982
Number of pages	7
Journal	Clinical Pediatrics
Volume	54
Issue number	10
DOIs	https://doi.org/10.1177/0009922815570613
State	Published - Sep 19 2015
Externally published	Yes

Keywords

appointments and schedules
missed appointments
pediatric care
primary health care

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

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10.1177/0009922815570613

Cite this

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

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.",

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AU - Macht-Greenberg, Michael

AU - Wenren, Larissa M.

AU - Yi, Jessica

AU - Massey, Gordon

AU - Cox, Joanne E.

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N2 - 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.

AB - 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.

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

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