Failed Appointments

BARRON, WILLIAM M.

doi:10.1016/s0095-4543(21)01411-1

Cited by 152Healthcare Operations and Scheduling OptimizationEmergency and Acute Care StudiesPatient-Provider Communication in Healthcare

Failed Appointments

BARRON, WILLIAM M.·1980·Primary Care Clinics in Office Practice

DOI 10.1016/s0095-4543(21)01411-1

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Abstract

Failure to keep appointments is disruptive to the health care delivery system in several ways. Rates of missed appointments in a variety of practice settings demonstrate a significant problem. The patient most likely to fail to keep a given appointment is one who is young, comes from a low socioeconomic group, has a large, unstable family, and has previously broken appointments. In addition, this patient will most likely have no significant ongoing relationship with a single physician, may have been referred from an emergency room, will have been scheduled for his or her appointment at a distant time, may well have forgotten about the appointment or thought it was scheduled for another time, and will feel little sense of urgency about keeping the appointment. Several effective methods to reduce appointment-breaking behavior are discussed. Mailed appointment reminders are both effective and cost-efficient. Improved communication between patient and physician combined with personal interest and attention an produce a positive effect on the appointment-keeping behavior of a patient. Finally, the pragmatic details of appointment scheduling can be altered to reduce the disruptive effect of the missed appointment by such methods as predictive overbooking based on individual patient characteristics, use of the modified wave scheduling technique, and elimination of the automatic reappointing of patients who have previously broken appointments.

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Crossref · 10.1016/s0095-4543(21)01411-1

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Patients who cancel appointments tend to be younger and of lower socioeconomic status.
“Patients who cancel appointments tend to be younger [12,14,15] and of lower socioeconomic status.”
From The impact of the SARS-CoV-2 outbreak on the psychological flexibility and behaviour of cancelling medical appointments of italian patients with pre-existing medical condition: The “impact-COVID-19 for patients” multi-centre observational study (2021) · cites this paper as [12]
Patients who schedule medical appointments and fail to keep them have a negative impact on patient care.
“Research conducted prior to the SARS-CoV-2 outbreak indicates that patients who schedule medical appointments and fail to keep them have a negative impact on patient care [11,12,13].”
From The impact of the SARS-CoV-2 outbreak on the psychological flexibility and behaviour of cancelling medical appointments of italian patients with pre-existing medical condition: The “impact-COVID-19 for patients” multi-centre observational study (2021) · cites this paper as [12]

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Authors: BARRON, W. M.
Affiliations: University of California Davis Medical Center (US)
Corresponding author: BARRON, WILLIAM M.
Venue: Primary Care Clinics in Office Practice
Publisher: Elsevier BV
Published: 1980-12
Volume: 7
Issue: 4
Pages: 563-574
ISSN: 0095-4543 (ISSN-L)
DOI: 10.1016/s0095-4543(21)01411-1
OpenAlex: W44961598
Cited by: 152
References: 21
Citations by year: 2026: 2 · 2025: 5 · 2024: 1 · 2023: 2 · 2021: 4 · 2020: 8 · 2019: 8 · 2018: 4 · 2017: 6 · 2016: 6 · 2015: 5 · 2014: 9 · 2013: 9 · 2012: 4
FWCI: 0.00
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Primary Care Clinics in Office Practice (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords: missed appointments, appointment keeping, appointment reminders, patient-physician communication, appointment scheduling, overbooking, socioeconomic factors, healthcare disruption
MeSH terms: Adult, Aged, Appointments and Schedules, Community Health Centers, Delivery of Health Care, Female, Humans, Male, Middle Aged, Patient Compliance, Physician-Patient Relations, Practice Management, Medical, Private Practice, Socioeconomic Factors

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