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Prevalence, predictors and economic consequences of no-shows
by
Sharafkhaneh, Amir
, Travis, Lauren M.
, Kheirkhah, Parviz
, Feng, Qianmei
, Tavakoli-Tabasi, Shahriar
in
Aged
/ Ambulatory Care Facilities - economics
/ Ambulatory Care Facilities - utilization
/ Appointments and Schedules
/ Costs and Cost Analysis
/ Delivery of Health Care - economics
/ Dermatology
/ Female
/ Health Administration
/ Health Informatics
/ Health Resources - economics
/ Hospitals, District - economics
/ Hospitals, District - utilization
/ Humans
/ Medical care, Cost of
/ Medicine
/ Medicine & Public Health
/ No-Show Patients - economics
/ No-Show Patients - statistics & numerical data
/ Nursing Research
/ Primary Health Care - economics
/ Public Health
/ Reminder Systems - economics
/ Reminder Systems - utilization
/ Research Article
/ Retrospective Studies
/ Texas
2016
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Prevalence, predictors and economic consequences of no-shows
by
Sharafkhaneh, Amir
, Travis, Lauren M.
, Kheirkhah, Parviz
, Feng, Qianmei
, Tavakoli-Tabasi, Shahriar
in
Aged
/ Ambulatory Care Facilities - economics
/ Ambulatory Care Facilities - utilization
/ Appointments and Schedules
/ Costs and Cost Analysis
/ Delivery of Health Care - economics
/ Dermatology
/ Female
/ Health Administration
/ Health Informatics
/ Health Resources - economics
/ Hospitals, District - economics
/ Hospitals, District - utilization
/ Humans
/ Medical care, Cost of
/ Medicine
/ Medicine & Public Health
/ No-Show Patients - economics
/ No-Show Patients - statistics & numerical data
/ Nursing Research
/ Primary Health Care - economics
/ Public Health
/ Reminder Systems - economics
/ Reminder Systems - utilization
/ Research Article
/ Retrospective Studies
/ Texas
2016
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Prevalence, predictors and economic consequences of no-shows
by
Sharafkhaneh, Amir
, Travis, Lauren M.
, Kheirkhah, Parviz
, Feng, Qianmei
, Tavakoli-Tabasi, Shahriar
in
Aged
/ Ambulatory Care Facilities - economics
/ Ambulatory Care Facilities - utilization
/ Appointments and Schedules
/ Costs and Cost Analysis
/ Delivery of Health Care - economics
/ Dermatology
/ Female
/ Health Administration
/ Health Informatics
/ Health Resources - economics
/ Hospitals, District - economics
/ Hospitals, District - utilization
/ Humans
/ Medical care, Cost of
/ Medicine
/ Medicine & Public Health
/ No-Show Patients - economics
/ No-Show Patients - statistics & numerical data
/ Nursing Research
/ Primary Health Care - economics
/ Public Health
/ Reminder Systems - economics
/ Reminder Systems - utilization
/ Research Article
/ Retrospective Studies
/ Texas
2016
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Prevalence, predictors and economic consequences of no-shows
Journal Article
Prevalence, predictors and economic consequences of no-shows
2016
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Overview
Background
Patients not attending to clinic appointments (no-show) significantly affects delivery, cost of care and resource planning. We aimed to evaluate the prevalence, predictors and economic consequences of patient no-shows.
Method
This is a retrospective cohort study using administrative databases for fiscal years 1997–2008. We searched administrative databases for no-show frequency and cost at a large medical center. In addition, we estimated no-show rates and costs in another 10 regional hospitals. We studied no-show rates in primary care and various subspecialty settings over a 12-year period, the monthly and seasonal trends of no-shows, the effects of implementing a reminder system and the economic effects of missed appointments.
Results
The mean no-show rate was 18.8 % (2.4 %) in 10 main clinics with highest occurring in subspecialist clinics. No-show rate in the women clinic was higher and the no-show rate in geriatric clinic was lower compared to general primary care clinic (PCP). The no-show rate remained at a high level despite its reduction by a centralized phone reminder (from 16.3 % down to 15.8 %). The average cost of no-show per patient was $196 in 2008.
Conclusions
Our data indicates that no-show imposed a major burden on this health care system. Further, implementation of a reminder system only modestly reduced the no-show rate.
Publisher
BioMed Central,BioMed Central Ltd
Subject
/ Ambulatory Care Facilities - economics
/ Ambulatory Care Facilities - utilization
/ Delivery of Health Care - economics
/ Female
/ Health Resources - economics
/ Hospitals, District - economics
/ Hospitals, District - utilization
/ Humans
/ Medicine
/ No-Show Patients - economics
/ No-Show Patients - statistics & numerical data
/ Primary Health Care - economics
/ Reminder Systems - economics
/ Reminder Systems - utilization
/ Texas
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