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Improving pediatric appointment keeping with reminders and reduced response requirement

P C Friman, J W Finney, M A Rapoff

    Journal of Applied Behavior Analysis
    |January 1, 1985
    PubMed

    Insights

    This study shows that appointment reminders and reduced requirements improve appointment keeping in pediatric clinics. The intervention successfully increased kept appointments and decreased broken ones.

    Area of Science:

    • Healthcare Management
    • Pediatric Health
    • Behavioral Science

    Background:

    • Appointment no-shows are a significant problem in hospital ambulatory pediatric clinics.
    • Inefficient appointment keeping impacts patient care and resource allocation.

    Purpose of the Study:

    • To evaluate the effectiveness of appointment reminders and reduced response requirements for improving appointment keeping.
    • To assess the impact of mailed and telephoned reminders coupled with a parking pass on clinic attendance.

    Main Methods:

    • A multiple baseline analysis was conducted over one fiscal year, analyzing 5,261 appointments.
    • The intervention included mailed and telephoned reminders and a parking pass to reduce barriers to attendance.
    • Data were analyzed using an interrupted time-series analysis.

    Main Results:

    • The intervention significantly increased the percentage of appointments kept.
    • The intervention significantly decreased the percentage of appointments broken.
    • Social validation, consumer satisfaction, and cost-effectiveness measures supported the intervention's success.

    Conclusions:

    • Combining appointment reminders with reduced response requirements is an effective strategy for improving appointment keeping in pediatric ambulatory care.
    • This intervention offers a practical and cost-effective solution to enhance healthcare access and efficiency.
    • The findings support the broader implementation of such strategies in similar clinical settings.

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