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Related Experiment Videos

Missed outpatient appointments: Who's missing out and Why?

Emma A Harwood¹, Daniel Lassman², Evelyn James³

¹Department of Urology, Maine Medical Center, Portland, ME, USA.

Journal of Pediatric Urology

|June 18, 2026

Summary

Pediatric urology patients miss more appointments than adults due to factors like forgetting, transportation, and family obligations. Addressing these barriers can improve access to care, especially in rural areas.

Keywords:

Access to care Caregiver barriers Missed appointments No-show visits Pediatric urology Rural health

Related Experiment Videos

Area of Science:

Urology
Healthcare Access
Health Services Research

Background:

Missed outpatient appointments (no-shows) impact healthcare access, efficiency, and patient outcomes.
Pediatric subspecialty care, like urology, faces unique challenges due to travel and coordination demands.
Limited data compare no-show predictors between pediatric and adult urology or include patient-reported reasons.

Purpose of the Study:

To compare predictors of missed appointments in pediatric versus adult urology.
To identify patient- and caregiver-reported barriers to attendance in pediatric urology.
To inform interventions for improving appointment adherence in pediatric urology.

Main Methods:

Retrospective review of 10,106 outpatient urology appointments (January-December 2024).
Multivariable logistic regression to identify no-show predictors in full cohort and subgroups.
Telephone interviews with 72 patients/caregivers who missed appointments to explore barriers.

Main Results:

Pediatric patients had higher no-show rates (7% vs. 4%) and were more likely to miss appointments (OR 1.67).
Factors associated with no-shows included governmental/lack of insurance, non-English preference, non-white race, and new patient visits.
Pediatric no-shows linked to male gender, lower Childhood Opportunity Index, and follow-up status; common reasons were forgetting, transport, and family obligations.

Conclusions:

Pediatric urology patients face higher no-show rates than adults, influenced by socioeconomic factors, geography, and family responsibilities.
Interventions targeting communication, transportation, and structural access barriers are crucial.
Improving adherence can enhance access to pediatric urology care, particularly in rural settings.