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Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics

Galit Hirsh-Yechezkel1, Saralee Glasser1, Lidia V Gabis2

  • 1Women & Children's Health Research Unit, Gertner Institute for Epidemiology & Health Policy Research, Sheba Medical Center, Affiliated with Tel Aviv University, Ramat Gan, Israel.

The International Journal of Health Planning and Management
|June 16, 2022
PubMed

Insights

Missed appointments at child development centres were frequent, often due to unexpected events or lack of insurance. Detailed referrals and reminders significantly reduced these missed appointments.

Area of Science:

  • Pediatrics
  • Healthcare Management
  • Public Health

Background:

  • Missed appointments (MAs) at child development centres (ChDCs) disrupt timely diagnosis and treatment.
  • MAs negatively impact organizational efficiency and resource allocation.
  • Understanding MA drivers is crucial for improving pediatric care access.

Purpose of the Study:

  • To determine the rate and reasons for missed appointments at Israeli ChDCs.
  • To identify factors associated with missed appointments in pediatric developmental services.
  • To inform strategies for reducing appointment no-shows.

Main Methods:

  • A nested case-control study involving 1143 children scheduled for initial ChDC appointments.
  • Telephone interviews were conducted with parents of children who missed appointments and a control group who attended.
  • Analysis focused on socio-demographic, clinical, and administrative variables.

Main Results:

  • The overall missed appointment rate was 26.6%.
  • Primary reasons included unexpected events (26.0%) and lack of insurance coverage (23.4%).
  • Factors reducing MAs included prior rehabilitative interventions, detailed referral letters, telephone reminders, and insurance coverage.

Conclusions:

  • Physician referral letters and personal reminders can effectively decrease missed appointments.
  • Addressing family/child characteristics and administrative factors is key to ensuring timely pediatric care.
  • Interventions targeting appointment adherence can improve service delivery at ChDCs.
Abstract

Keywords:
child development centredisabilitieshealthcare managementmissed appointmentsno-shows

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