Correlation of Appointment Times and Subspecialty With the No-Show Rates in an Orthopedic Ambulatory Clinic

Sung R Lee; Daniel B Dix; Gerald McGwin; Christopher K Odom; Cesar de Cesar Netto; Sameer M Naranje; Ashish Shah

doi:10.1097/JHM-D-17-00199

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Correlation of Appointment Times and Subspecialty With the No-Show Rates in an Orthopedic Ambulatory Clinic

Journal article

Peer reviewed

Correlation of Appointment Times and Subspecialty With the No-Show Rates in an Orthopedic Ambulatory Clinic

Sung R Lee, Daniel B Dix, Gerald McGwin, Christopher K Odom, Cesar de Cesar Netto, Sameer M Naranje and Ashish Shah

Journal of healthcare management, Vol.63(6), pp.e159-e169

11/2018

DOI: 10.1097/JHM-D-17-00199

PMID: 30418378

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Abstract

Unexpectedly missed appointments ("no-shows") cause clinic inefficiency, lost time and revenue, wasted healthcare resources, and provider dissatisfaction. No-shows can be associated with miscommunication, transportation difficulties, employment status, age, race, and socioeconomic status. This study investigates the association between no-show rates and patient, appointment time, and provider characteristics. Data for all scheduled appointments in a single orthopedic multispecialty institution during calendar year 2016 were obtained. Data points included patient age, gender, and race; hour; month; and subspecialty. Chi-square testing was used to compare no-show and kept appointments with respect to patient and appointment characteristics. Logistic regression was used to calculate differences in no-show rates between orthopedic subspecialties. The overall no-show rate was 11.5%. Race, age, and subspecialties were all found to be associated with higher no-show rates. No significant differences were observed for gender, appointment time, or month of appointment. The authors suggest that patients at higher risk of not showing up for scheduled appointments may need extra effort from providers to accommodate the patients' schedules when making appointments, to confirm their appointments a few days before, and/or to incentivize patients to minimize no-shows.

Humans

Middle Aged

Child, Preschool

Infant

Logistic Models

Male

Young Adult

Specialization

Orthopedic Procedures

Adolescent

Aged, 80 and over

Ambulatory Care Facilities

Adult

Female

Aged

Appointments and Schedules

Patient Compliance

Child

Databases, Factual

Details

Title: Subtitle: Correlation of Appointment Times and Subspecialty With the No-Show Rates in an Orthopedic Ambulatory Clinic
Creators: Sung R Lee - School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama School of Medicine, University of Alabama at Birmingham vice chairman, Department of Epidemiology, School of Public Health, University of Alabama at Birmingham resident physician, Division of Orthopaedic Surgery, University of Alabama at Birmingham fellowship physician, Division of Orthopaedic Surgery, University of Alabama at Birmingham assistant professor, Division of Orthopaedic Surgery, University of Alabama at Birmingham assistant professor and director, Foot and Ankle Research & International Education Program, Division of Orthopaedic Surgery, University of Alabama at Birmingham
Daniel B Dix
Gerald McGwin
Christopher K Odom
Cesar de Cesar Netto
Sameer M Naranje
Ashish Shah
Resource Type: Journal article
Publication Details: Journal of healthcare management, Vol.63(6), pp.e159-e169
Publisher: United States
DOI: 10.1097/JHM-D-17-00199
PMID: 30418378
ISSN: 1096-9012
eISSN: 1944-7396
Language: English
Date published: 11/2018
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984040329702771

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