Failure to keep clinic appointments: Implications for residency education and productivity

Allen L. Hixon, Ronald W. Chapman, James Nuovo

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Background and Objectives: Missed clinic appointments significantly impact continuity of care, resident education, and clinical productivity. This national survey analyzed the awareness of family practice residency clinics regarding their missed appointment rate and the use of reminder systems. Methods: We mailed a questionnaire to all 468 family practice residency programs in the United States and mailed two follow-up surveys to nonrespondents. Results: The overall survey response rate was 60%. More than one third of the clinics reported a no-show rate of >21%. When asked how the clinic arrived at their no-show rate, 64 (17. 7%) respondents stated that the reported rate was an estimate. More than one third of all clinics did not use a patient reminder system for clinic appointments. When comparing clinics with high (>20%) and low (<20%) no-show rates, there was no statistically significant difference between the use or nonuse of mailed, telephone, or combined reminder systems. Conclusions: The clinic appointment no-show rate varies greatly among family practice residency programs. Even with the widely reported use of reminder systems, one third of programs continue to have no- show rates above 20%. This study is unusual in that there was no statistically significant difference in no-show rates between programs, based on the use of reminder systems. In an era of cost containment and increased accountability, appointment failures are a factor that will require additional study and intervention by family practice residency programs nationwide.

Original languageEnglish (US)
Pages (from-to)627-630
Number of pages4
JournalFamily Medicine
Volume31
Issue number9
StatePublished - Oct 1999

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Reminder Systems
Internship and Residency
Appointments and Schedules
Family Practice
Education
Continuity of Patient Care
Cost Control
Social Responsibility
Telephone
Surveys and Questionnaires

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Failure to keep clinic appointments : Implications for residency education and productivity. / Hixon, Allen L.; Chapman, Ronald W.; Nuovo, James.

In: Family Medicine, Vol. 31, No. 9, 10.1999, p. 627-630.

Research output: Contribution to journalArticle

Hixon, Allen L. ; Chapman, Ronald W. ; Nuovo, James. / Failure to keep clinic appointments : Implications for residency education and productivity. In: Family Medicine. 1999 ; Vol. 31, No. 9. pp. 627-630.
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