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Reasons for Missed Appointments.

Rachan Ghandour1, Jeannine M Miranne, Julia Shen1

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This summary is machine-generated.

Patients miss urogynecology appointments due to community, patient, and clinic barriers. Addressing transportation and scheduling issues can improve access to care.

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Area of Science:

  • Urogynecology
  • Healthcare Access
  • Patient-Centered Care

Background:

  • Missed appointments in subspecialty care, especially urogynecology, are poorly understood.
  • Identifying barriers is crucial for improving patient outcomes and resource allocation.

Purpose of the Study:

  • To investigate patient-perceived barriers to appointment attendance in an academic urban multisite urogynecology practice.
  • To understand factors contributing to missed appointments from the patient's perspective.

Main Methods:

  • Prospective, qualitative study involving semistructured interviews with patients who missed appointments.
  • Purposive sampling and inductive coding were used to analyze interview data.
  • Focus on community/environmental, patient-related, and clinic-related factors.

Main Results:

  • 26 patients completed interviews, identifying 3 major barrier categories.
  • Community/environmental barriers (77%) included transportation issues (52%).
  • Patient-related factors (62%) included family obligations and personal illness.
  • Clinic-related factors (35%) involved scheduling and timing.

Conclusions:

  • Understanding missed appointment reasons is key to patient-centered urogynecology care.
  • Interventions like transportation support and improved scheduling can enhance care accessibility and equity.
  • Future research should focus on predictive algorithms and targeted interventions.