Predictors of No-Show in Neurology Clinics
In this study, we aim to identify predictors of a no-show in neurology clinics at our institution. We conducted a retrospective review of neurology clinics from July 2013 through September 2018. We compared odds ratio of patients who missed appointments (no-show) to those who were present at appoint...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/4/599 |
| _version_ | 1797434658958344192 |
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| author | Hisham Elkhider Rohan Sharma Sen Sheng Jeff Thostenson Nidhi Kapoor Poornachand Veerapaneni Suman Siddamreddy Faisal Ibrahim Sisira Yadala Sanjeeva Onteddu Krishna Nalleballe |
| author_facet | Hisham Elkhider Rohan Sharma Sen Sheng Jeff Thostenson Nidhi Kapoor Poornachand Veerapaneni Suman Siddamreddy Faisal Ibrahim Sisira Yadala Sanjeeva Onteddu Krishna Nalleballe |
| author_sort | Hisham Elkhider |
| collection | DOAJ |
| description | In this study, we aim to identify predictors of a no-show in neurology clinics at our institution. We conducted a retrospective review of neurology clinics from July 2013 through September 2018. We compared odds ratio of patients who missed appointments (no-show) to those who were present at appointments (show) in terms of age, lead-time, subspecialty, race, gender, quarter of the year, insurance type, and distance from hospital. There were 60,012 (84%) show and 11,166 (16%) no-show patients. With each day increase in lead time, odds of no-show increased by a factor of 1.0019 (<i>p</i> < 0.0001). Odds of no-show were higher in younger (<i>p</i> ≤ 0.0001, OR = 0.49) compared to older (age ≥ 60) patients and in women (<i>p</i> < 0.001, OR = 1.1352) compared to men. They were higher in Black/African American (<i>p</i> < 0.0001, OR = 1.4712) and lower in Asian (<i>p</i> = 0.03, OR = 0.6871) and American Indian/Alaskan Native (<i>p</i> = 0.055, OR = 0.6318) as compared to White/Caucasian. Patients with Medicare (<i>p</i> < 0.0001, OR = 1.5127) and Medicaid (<i>p</i> < 0.0001, OR = 1.3354) had higher odds of no-show compared to other insurance. Young age, female, Black/African American, long lead time to clinic appointments, Medicaid/Medicare insurance, and certain subspecialties (resident and stroke clinics) are associated with high odds of no show. Possible suggested interventions include better communication and flexible appointments for the high-risk groups as well as utilizing telemedicine. |
| first_indexed | 2024-03-09T10:35:30Z |
| format | Article |
| id | doaj.art-c68cc5c38a4a44e0ac06979be6a7e56d |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T10:35:30Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-c68cc5c38a4a44e0ac06979be6a7e56d2023-12-01T20:58:21ZengMDPI AGHealthcare2227-90322022-03-0110459910.3390/healthcare10040599Predictors of No-Show in Neurology ClinicsHisham Elkhider0Rohan Sharma1Sen Sheng2Jeff Thostenson3Nidhi Kapoor4Poornachand Veerapaneni5Suman Siddamreddy6Faisal Ibrahim7Sisira Yadala8Sanjeeva Onteddu9Krishna Nalleballe10Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USANeurology Department Epilepsy Division, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USACollege of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Internal Medicine, Baptist Health, North Little Rock, AR 72117, USADepartment of Neurology, Cleveland Clinic Foundation, Cleveland, OH 44195, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USAIn this study, we aim to identify predictors of a no-show in neurology clinics at our institution. We conducted a retrospective review of neurology clinics from July 2013 through September 2018. We compared odds ratio of patients who missed appointments (no-show) to those who were present at appointments (show) in terms of age, lead-time, subspecialty, race, gender, quarter of the year, insurance type, and distance from hospital. There were 60,012 (84%) show and 11,166 (16%) no-show patients. With each day increase in lead time, odds of no-show increased by a factor of 1.0019 (<i>p</i> < 0.0001). Odds of no-show were higher in younger (<i>p</i> ≤ 0.0001, OR = 0.49) compared to older (age ≥ 60) patients and in women (<i>p</i> < 0.001, OR = 1.1352) compared to men. They were higher in Black/African American (<i>p</i> < 0.0001, OR = 1.4712) and lower in Asian (<i>p</i> = 0.03, OR = 0.6871) and American Indian/Alaskan Native (<i>p</i> = 0.055, OR = 0.6318) as compared to White/Caucasian. Patients with Medicare (<i>p</i> < 0.0001, OR = 1.5127) and Medicaid (<i>p</i> < 0.0001, OR = 1.3354) had higher odds of no-show compared to other insurance. Young age, female, Black/African American, long lead time to clinic appointments, Medicaid/Medicare insurance, and certain subspecialties (resident and stroke clinics) are associated with high odds of no show. Possible suggested interventions include better communication and flexible appointments for the high-risk groups as well as utilizing telemedicine.https://www.mdpi.com/2227-9032/10/4/599neurology clinicno-showCOVID-19 |
| spellingShingle | Hisham Elkhider Rohan Sharma Sen Sheng Jeff Thostenson Nidhi Kapoor Poornachand Veerapaneni Suman Siddamreddy Faisal Ibrahim Sisira Yadala Sanjeeva Onteddu Krishna Nalleballe Predictors of No-Show in Neurology Clinics Healthcare neurology clinic no-show COVID-19 |
| title | Predictors of No-Show in Neurology Clinics |
| title_full | Predictors of No-Show in Neurology Clinics |
| title_fullStr | Predictors of No-Show in Neurology Clinics |
| title_full_unstemmed | Predictors of No-Show in Neurology Clinics |
| title_short | Predictors of No-Show in Neurology Clinics |
| title_sort | predictors of no show in neurology clinics |
| topic | neurology clinic no-show COVID-19 |
| url | https://www.mdpi.com/2227-9032/10/4/599 |
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