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Related Experiment Videos

Appointment-keeping behavior re-evaluated

P Hertz, P L Stamps

    American Journal of Public Health
    |November 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Traditional approaches often overlook organizational factors in missed appointments. This study reveals that healthcare institutions play a key role in reinforcing patient appointment-keeping behaviors, challenging assumptions about patient demographics.

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    Area of Science:

    • Health Services Research
    • Healthcare Management
    • Patient Behavior Studies

    Background:

    • Traditional models of appointment-keeping behavior often neglect organizational influences.
    • There's an implicit assumption that low-income and minority patients disproportionately break appointments.
    • This overlooks systemic factors within healthcare delivery.

    Purpose of the Study:

    • To examine the relationship between broken appointments and patient demographics (age, sex, ethnicity, payment).
    • To investigate the role of organizational factors in appointment-keeping behavior.
    • To propose alternative explanations for high broken appointment rates.

    Main Methods:

    • A case study was conducted at a Model Cities Health Center.
    • Data on broken appointments were analyzed in relation to patient characteristics.

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  • The study focused on identifying institutional influences on appointment adherence.

    • Main Results:

    • The health center maintained an 85% kept appointment rate.
    • Results suggest organizational factors, not just patient demographics, influence appointment-keeping.
    • The institution's practices appear to reinforce appointment adherence.

    Conclusions:

    • Healthcare institutions significantly impact patient appointment-keeping behavior.
    • Alternative explanations for broken appointments should consider systemic and organizational roles.
    • Focusing on institutional reinforcement can improve appointment adherence.