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The failed appointment.

B Little1, C Cannon, B Whitson

  • 1Department of Internal Medicine, University of Oklahoma College of Medicine-Tulsa 74129-1077.

The Journal of the Oklahoma State Medical Association
|September 1, 1991
PubMed
Summary
This summary is machine-generated.

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Transportation issues were the primary reason for missed internal medicine clinic appointments among indigent patients. Addressing these barriers and patient education can improve appointment continuity.

Area of Science:

  • Internal Medicine
  • Public Health
  • Healthcare Access

Background:

  • Continuity of care is crucial for effective patient management, particularly in ambulatory settings.
  • Understanding barriers to clinic appointments is essential for improving healthcare access for indigent populations.

Purpose of the Study:

  • To identify the primary reasons for failed internal medicine clinic appointments among an indigent patient population.
  • To explore patient perspectives on appointment no-shows and potential interventions.

Main Methods:

  • A retrospective telephone survey was conducted with 100 indigent patients who missed scheduled appointments at an ambulatory teaching clinic.
  • Data collected included demographics, general health, reasons for missed appointments, and patient satisfaction.

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Main Results:

  • Transportation problems were the leading cause of missed appointments (13%), followed by forgetfulness (11%) and illness/rescheduling issues (8% each).
  • Seventeen percent of patients feared the medical encounter, though this was not volunteered as a reason for absence.
  • Most patients (51%) felt missed appointments were unavoidable, yet satisfaction with physicians (90%) and punctuality (82%) was high.

Conclusions:

  • Lack of transportation is a significant barrier to consistent care for indigent patients.
  • Patient education may help address issues like forgetfulness and fear of medical encounters.
  • Clinic operations demonstrate high patient satisfaction and punctuality when appointments are kept.