A Pilot Study of Reasons and Risk Factors for €no-Shows€ in a Pediatric Neurology Clinic

Lindsay M. Guzek, William F. Fadel, Meredith R. Golomb

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Missed clinic appointments lead to decreased patient access, worse patient outcomes, and increased healthcare costs. The goal of this pilot study was to identify reasons for and risk factors associated with missed pediatric neurology outpatient appointments (€no-shows€). This was a prospective cohort study of patients scheduled for 1 week of clinic. Data on patient clinical and demographic information were collected by record review; data on reasons for missed appointments were collected by phone interviews. Univariate and multivariate analyses were conducted using chi-square tests and multiple logistic regression to assess risk factors for missed appointments. Fifty-nine (25%) of 236 scheduled patients were no-shows. Scheduling conflicts (25.9%) and forgetting (20.4%) were the most common reasons for missed appointments. When controlling for confounding factors in the logistic regression, Medicaid (odds ratio 2.36), distance from clinic, and time since appointment was scheduled were associated with missed appointments. Further work in this area is needed.

Original languageEnglish (US)
Pages (from-to)1295-1299
Number of pages5
JournalJournal of child neurology
Issue number10
StatePublished - Sep 18 2015


  • access
  • compliance
  • insurance status
  • risk factors
  • scheduling

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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