Related Experiment Video
Updated: May 14, 2026
A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
Published on: January 19, 2024
Examining Missed Healthcare Appointments (No-Shows) in a Rural-Serving Federally Qualified Community Health Center in
Isaac Karikari1, Andrew Williams2, Robin Landwehr3
1Department of Social Work, College of Nursing and Professional Disciplines, University of North Dakota, Grand Forks, ND, USA.
Abstract:
To examine demographic and geographic factors associated with missed healthcare appointments ("no-shows") in a rural-serving federally qualified community health center in the United States, this retrospective cross-sectional study was conducted. Stratified descriptive statistics and negative binomial regression assessed associations with age, gender, and residential location. After adjustment, patients in an area anonymized as Region C had about 41% fewer no-shows (IRR = 0.59). Female patients had about 28% fewer no-shows (IRR = 0.72), and each additional year of age was associated with a 1.30% decrease in no-shows (IRR = 0.99). Older and female patients were less likely to miss appointments, and geographic location also influenced attendance. Tailored, location-specific strategies may improve appointment adherence and continuity of care in rural settings. In integrated FQHC care models, social workers and human service professionals can help address social determinants affecting appointment adherence through targeted screening and support services.
Related Concept Videos
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:30Preventive Healthcare Services
01:29Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:18Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...