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Related Experiment Video

Updated: May 23, 2026

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation

Published on: November 8, 2013

Methods to reduce outpatient non-attendance.

Nancy D Stubbs¹, Stephen A Geraci, Priscilla L Stephenson

¹Medical Service, Montgomery Veterans Affairs Medical Center, Jackson, Mississippi 39216, USA.

The American Journal of the Medical Sciences

|April 6, 2012

Summary

Text message appointment reminders are the most cost-effective way to reduce patient no-shows and improve healthcare efficiency. While telephone and mail reminders also help, text messaging offers the best financial benefit.

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Area of Science:

Health Services Research
Healthcare Management
Patient Adherence

Background:

Patient non-attendance negatively impacts clinic productivity, efficiency, healthcare access, and costs.
Effective strategies are needed to reduce outpatient no-shows.

Purpose of the Study:

To systematically review interventions for reducing outpatient non-attendance.
To compare the effectiveness and cost-effectiveness of different reminder methods.
To identify strategies providing net financial benefit.

Main Methods:

Systematic review of English language literature from November 1999 to November 2009.
Comparison of telephone, mail, text/short message service (SMS), electronic mail, and open-access scheduling.
Analysis of impact on attendance rates and financial benefit.

Main Results:

Telephone, mail, and text message service interventions showed modest improvements in attendance.
Text messaging (SMS) was the most cost-effective reminder method among the three.
Limited data exist for electronic mail; open-access scheduling requires further research.

Conclusions:

Text messaging is a highly cost-effective strategy for reducing patient no-shows.
Healthcare providers should consider text messaging for appointment reminders.
Further research is needed on electronic mail and open-access scheduling effectiveness.