Improving nonattendance rates among pediatric patients with Medicaid or private insurance.
Adolescent
Appointments and Schedules
Child
Child, Preschool
Dermatology
/ organization & administration
Humans
Infant
Infant, Newborn
Insurance, Health
/ statistics & numerical data
Medicaid
/ statistics & numerical data
No-Show Patients
/ statistics & numerical data
Retrospective Studies
Time Factors
United States
Medicaid
children
commercial insurance
no-show
nonattendance
pediatric
private insurance
Journal
Journal of the American Academy of Dermatology
ISSN: 1097-6787
Titre abrégé: J Am Acad Dermatol
Pays: United States
ID NLM: 7907132
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
29
09
2018
revised:
08
01
2019
accepted:
01
02
2019
pubmed:
17
2
2019
medline:
21
12
2019
entrez:
17
2
2019
Statut:
ppublish
Résumé
Access to dermatologists is low among Medicaid-insured patients. Higher clinic nonattendance among Medicaid-insured patients might affect provider decisions to accept these patients. To determine the effect of different scheduling policies on the attendance among children seen at a pediatric dermatology clinic. 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. 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. This is a retrospective study, and same-day cancellations were not tracked. 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.
Sections du résumé
BACKGROUND
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
OBJECTIVE
To determine the effect of different scheduling policies on the attendance among children seen at a pediatric dermatology clinic.
METHODS
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
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
CONCLUSIONS
This is a retrospective study, and same-day cancellations were not tracked.
CONCLUSION
CONCLUSIONS
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.
Identifiants
pubmed: 30771420
pii: S0190-9622(19)30273-7
doi: 10.1016/j.jaad.2019.02.018
pii:
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
412-416Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2019 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.