Related Experiment Video
Updated: May 8, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
Cancellations and patient access to physicians: ZocDoc and the evolution of e-medicine
Zuhair Siddiqui1, Rashid Rashid
1University of Texas at Houston, Houston, Texas.
Insights
Online appointment scheduling shows promise for improving patient attendance in dermatology clinics. Patients booking online had significantly lower no-show rates compared to traditional booking methods, suggesting a more reliable system.
Area of Science:
- Dermatology
- Health Informatics
- Patient Access
Background:
- Physician concerns regarding patient appointment attendance.
- The increasing adoption of online appointment booking systems.
- The evolving landscape of patient engagement in healthcare.
Purpose of the Study:
- To evaluate the attendance rates of dermatology appointments booked online.
- To compare online booking attendance with traditional scheduling methods.
- To analyze attendance patterns in rural versus urban clinic settings.
Main Methods:
- Analysis of appointment records from ZocDoc.com over a six-month period.
- Inclusion of three dermatology clinics situated outside Houston, Texas.
- Comparison of no-show rates between online and traditional appointment bookings.
Main Results:
- Online appointments demonstrated significantly lower non-attendance rates (6.9%) compared to traditional methods.
- Patients who missed appointments were, on average, younger than those who attended.
- Older patients were more likely to cancel appointments than younger patients.
- Urban clinics exhibited higher non-attendance rates than rural clinics.
Conclusions:
- Online appointment scheduling appears to reduce patient no-shows in dermatology.
- The study suggests online booking is a more reliable method for appointment attendance.
- Future research with larger sample sizes is warranted given the novelty of online scheduling.
Background:
Appointment attendance has always been a concern for physicians and the landscape is changing now that patients can book appointments online in many practices.
Objective:
This manuscript examined attendance rates of appointments made on the internet for rural and urban dermatology clinics.
Methods:
The study analyzed appointment records made over a 6-month period on ZocDoc.com for 3 dermatology clinics located outside Houston, Texas.
Results:
Non-attendance rates for online appointments were much lower (6.9%) than non-attendance rates at dermatology clinics through traditional means. The average age of patients who missed their appointments was lower than the average age of those who made their appointments. In addition, the average age of those who cancelled their appointments was higher than those who made their appointments. Also, urban non-attendance rates were higher than rural rates.
Limitations:
This study has a small sample size because online appointment scheduling is not a common practice.
Conclusion:
The early returns of online appointment scheduling indicate that appointments made online are more likely to have lower non-attendance rates than appointments made through traditional means.
Related Concept Videos
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods of Documentation VII: EMR
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
Patient-centered Care
Methods of Documentation II: POMR
