Improving nonattendance rates among pediatric patients with Medicaid or private insurance - 27/07/19
, Elaine Siegfried, MD b, Umar A. Sheikh, BA c, Cassandra Simonetta, MD d, Niraj Butala, MD e, Eric Armbrecht, PhD fAbstract |
Background |
Access to dermatologists is low among Medicaid-insured patients. Higher clinic nonattendance among Medicaid-insured patients might affect provider decisions to accept these patients.
Objective |
To determine the effect of different scheduling policies on the attendance among children seen at a pediatric dermatology clinic.
Methods |
In this retrospective review, we compared nonattendance among children for 3 different scheduling policies implemented over 3 consecutive years. The scheduling policies used were a first-available open scheduling policy, a 2-week in advance scheduling policy, and a 4-week in advance scheduling policy. Subset analyses were performed by clinic location and insurance type.
Results |
The interval between scheduling and appointment date was directly related to nonattendance rates; rates were higher for Medicaid-insured than privately insured patients. Open scheduling was associated with a 37% nonattendance rate for Medicaid-insured patients and 18% nonattendance rate for privately insured patients. A 4-week in advance scheduling policy significantly decreased the nonattendance rate to 19% among Medicaid-insured and 7% among privately insured patients. A 2-week in advance policy further decreased the nonattendance rate to 11% among Medicaid-insured patients and 4% among privately insured patients.
Limitations |
This is a retrospective study, and same-day cancellations were not tracked.
Conclusion |
Decreasing the time interval between scheduling and appointment dates can significantly decrease nonattendance. This strategy might help dermatologists incorporate more Medicaid-insured patients into their practices.
Le texte complet de cet article est disponible en PDF.Key words : commercial insurance, children, Medicaid, nonattendance, no-show, pediatric, private insurance
Plan
| Funding sources: None. |
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| Conflicts of interest: None disclosed. |
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| Previously presented at the Residents Research Symposium at Saint Louis University, St. Louis, Missouri, in June of 2012. |
Vol 81 - N° 2
P. 412-416 - août 2019 Retour au numéro
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