Related Experiment Video
Updated: Jan 20, 2026
Genotypic Inference of HIV-1 Tropism Using Population-based Sequencing of V3
Published on: December 27, 2010
Reducing Missed Appointments for Patients With HIV: An Evidence-Based Approach
Judith Ann Adams1, Kimberly Whiteman, Samantha McGraw
1Outpatient Education, Allegheny Health Network, Pittsburgh, Pennsylvania (Dr Adams and Ms McGraw); and Graduate and Professional Nursing Programs, Waynesburg University, Monroeville, Pennsylvania (Dr Whiteman).
Background:
High rates of missed appointments for routine HIV care are associated with unsuppressed viremia, increasing morbidity.
Local Problem:
The Clinic no-show rate ranged between 30% and 35%, and only 69% of patients were considered retained in care within a 24-month time frame.
Methods:
The Woodward Risk Prediction Tool was completed on all patients to stratify patient risk for missing the next appointment.
Interventions:
All patients were offered text message along with standard phone message appointment reminders, and patients who missed appointments were called within 24 hours to reschedule. Medium-risk patients received a previsit planning call to remove barriers to appointment attendance, and high-risk patients received a home visit from the peer navigator.
Results:
The project resulted in a 3.8% reduction rate in the overall no-show rate in the first 5 months of implementation. Using risk stratification and targeted interventions allowed valuable resources to be allocated where they were needed.
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