PMID: 6411944Oct 7, 1983Paper

Appointment reminders to reduce no-show rates. A stratified analysis of their cost-effectiveness

JAMA : the Journal of the American Medical Association
J BigbyL Goldman

Abstract

To determine whether reminders are cost-effective for an adult primary care internal medicine center, we randomized 590 scheduled, follow-up appointments to no reminder, computer-generated letter reminders, and telephoned reminders. The no-show rate was reduced from 24% in the control group to 14% in the reminder groups, and letter and telephoned reminders were equally effective. An economic analysis showed that about two thirds of the savings realized from reminders was generated in 23% of the patients whose prior predicted probability of a no-show appointment was above 20%. However, in our primary care center, computer-generated letter reminders were estimated to be cost-effective whenever the probability of a no-show was above 5%, and telephoned or manual letter reminders were estimated to be cost-effective whenever the probability of a no-show was above about 11%. Based on our sensitivity analysis, telephoned or manual letter reminders should be cost-effective in many other ambulatory settings as well, although in some settings, reminders may be restricted to patients at high risk for no-show behavior.

Citations

Feb 1, 1994·Journal of General Internal Medicine·J Melnikow, C Kiefe
Nov 21, 2007·Annals of Family Medicine·Bradley J JohnsonJ Michael Pontious
May 28, 2011·Journal of Medical Internet Research·Monica HorvathJeffrey Ferranti
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Feb 1, 1986·Clinical Otolaryngology and Allied Sciences·A M LeeseJ A Murray
Aug 10, 2016·Journal of General Internal Medicine·Sachin J ShahAlexandra B Kimball

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