Appointment "no-shows" are an independent predictor of subsequent quality of care and resource utilization outcomes

Journal of General Internal Medicine
Andrew S HwangClemens S Hong

Abstract

Identifying individuals at high risk for suboptimal outcomes is an important goal of healthcare delivery systems. Appointment no-shows may be an important risk predictor. To test the hypothesis that patients with a high propensity to "no-show" for appointments will have worse clinical and acute care utilization outcomes compared to patients with a lower propensity. We calculated the no-show propensity factor (NSPF) for patients of a large academic primary care network using 5 years of outpatient appointment data. NSPF corrects for patients with fewer appointments to avoid over-weighting of no-show visits in such patients. We divided patients into three NSPF risk groups and evaluated the association between NSPF and clinical and acute care utilization outcomes after adjusting for baseline patient characteristics. A total of 140,947 patients who visited a network practice from January 1, 2007, through December 31, 2009, and were either connected to a primary care physician or to a primary care practice, based on a previously validated algorithm. Outcomes of interest were incomplete colorectal, cervical, and breast cancer screening, and above-goal hemoglobin A1c (HbA1c) and low-density lipoprotein (LDL) levels at 1-year follow-up,...Continue Reading

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Citations

Jun 18, 2015·Journal of General Internal Medicine·Martin F Shapiro
Aug 10, 2016·Journal of General Internal Medicine·Sachin J ShahAlexandra B Kimball
Oct 23, 2016·Journal of General Internal Medicine·Andrew S HwangClemens S Hong
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