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Related Experiment Videos

Increasing the 'show rate' in a school problems clinic.

G B Landman, E D Meade, P F Landman

    American Journal of Diseases of Children (1960)
    |November 1, 1986
    PubMed
    Summary
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    Requiring parents to return forms before appointments significantly improved child patient show rates. This strategy also reduced clinic wait times and increased patient volume, unlike telephone reminders.

    Area of Science:

    • Pediatric Healthcare
    • Healthcare Management
    • Clinical Operations

    Background:

    • Appointment no-shows are a significant challenge in pediatric clinics, impacting resource allocation and patient access.
    • Effective strategies are needed to improve patient adherence to scheduled appointments for children with school-related issues.

    Purpose of the Study:

    • To evaluate the effectiveness of two interventions—telephone reminders and pre-appointment form submission—on improving appointment keeping (show rate) at a pediatric clinic.
    • To assess the impact of these interventions on clinic waiting periods and patient throughput.

    Main Methods:

    • A hospital-based clinic serving children with school problems implemented two interventions: telephone reminders and requiring parental form return before scheduling.
    • Appointment keeping rates were compared before and after intervention, with patient socioeconomic status and race monitored as potential confounders.

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    Main Results:

    • Telephone reminders did not significantly improve appointment keeping rates.
    • Requiring parental form submission prior to appointment scheduling significantly increased the show rate from 57% to 88%.
    • This intervention also led to reduced clinic waiting times and increased the number of patients seen monthly, without changes in patient demographics.

    Conclusions:

    • Mandatory pre-appointment parental form submission is an effective strategy for improving appointment adherence in pediatric clinics.
    • This intervention offers a dual benefit of enhancing patient show rates and optimizing clinic operational efficiency.
    • The findings suggest that administrative process changes can yield substantial improvements in healthcare delivery for pediatric populations.