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

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

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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
Volume30
Issue number10
DOIs
StatePublished - Sep 18 2015

Fingerprint

Neurology
Appointments and Schedules
Pediatrics
Logistic Models
Medicaid
Chi-Square Distribution
Health Care Costs
Cohort Studies
Outpatients
Multivariate Analysis
Odds Ratio
Demography
Prospective Studies
Interviews

Keywords

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

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health

Cite this

A Pilot Study of Reasons and Risk Factors for €no-Shows€ in a Pediatric Neurology Clinic. / Guzek, Lindsay M.; Fadel, William F.; Golomb, Meredith.

In: Journal of Child Neurology, Vol. 30, No. 10, 18.09.2015, p. 1295-1299.

Research output: Contribution to journalArticle

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