Association between missed appointment and related factors of patients with cancer in a tertiary hospital
Ye Seol Lee
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
Search for more papers by this authorCorresponding Author
Tae Hyun Kim
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
Department of Hospital Administration, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea
Correspondence
T. H. Kim, Department of Hospital Administration, Graduate School of Public Health, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea.
Email: [email protected]
Search for more papers by this authorJuyeong Kim
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
Search for more papers by this authorYe Seol Lee
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
Search for more papers by this authorCorresponding Author
Tae Hyun Kim
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
Department of Hospital Administration, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea
Correspondence
T. H. Kim, Department of Hospital Administration, Graduate School of Public Health, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Republic of Korea.
Email: [email protected]
Search for more papers by this authorJuyeong Kim
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea
Institute of Health Services Research, Yonsei University, Seoul, Republic of Korea
Search for more papers by this authorSummary
For the hospital administration, 1 major responsibility is to prevent the outflow of existing patients and minimize losses because of the failure of patients with cancer to attend appointments. We analyzed the association between no-show rates and characteristics of patients with cancer at a tertiary hospital in Seoul using patient affair data. Among the 680 190 patients, no-show rates were 4.39% and 3.37% for males and females, respectively. Male patients with colon and rectum, pancreas, and liver cancer had higher no-show rates (5.81%, 5.8%, and 5.1%). Among females, pancreas, colon and rectum, and liver cancer were associated with high no-show rates (5.65%, 5.44%, and 4.92%). For both males and females, liver (males: OR = 2.02; 95% CI: 1.68-2.44; females: OR = 1.91; 95% CI: 1.60-2.28) and pancreas (males: OR = 1.98; 95% CI: 1.57-2.50; females: OR = 1.97; 95% CI: 1.61-2.42) cancer were associated with high no-show rates. To reduce the rate of no-shows, hospitals should establish and enforce “missed appointment” policies as well as its effect upon health outcome.
DISCLOSURE STATEMENT
The authors declare no conflict of interest.
REFERENCES
- 1Moore CG, Wilson-Witherspoon P, Probst JC. Time and money: Effects of no-shows at a family practice residency clinic. Family Medicine-Kansas City. 2001; 33(7): 522-527.
- 2Muthuraman K, Lawley M. A stochastic overbooking model for outpatient clinical scheduling with no-shows. Iie Trans. 2008; 40(9): 820-837.
- 3 Korea Joongang Daily. The restaurant industry is ... "No-shows should be eradicated" [cited 2018 April 16th]; Available from: http://news.joins.com/article/21640271.
- 4Zeng B, Turkcan A, Lin J, Lawley M. Clinic scheduling models with overbooking for patients with heterogeneous no-show probabilities. Ann Oper Res. 2010; 178(1): 121-144.
- 5LaGanga LR, Lawrence SR. Clinic overbooking to improve patient access and increase provider productivity*. Decis Sci. 2007; 38(2): 251-276.
- 6DuMontier C, Rindfleisch K, Pruszynski J, Frey JJ 3rd. A multi-method intervention to reduce no-shows in an urban residency clinic. Fam Med. 2013; 45(9): 634-641.
- 7Murray M, Berwick DM. Advanced access: Reducing waiting and delays in primary care. JAMA. 2003; 289(8): 1035-1040.
- 8Kaplan-Lewis E, Percac-Lima S. No-show to primary care appointments: Why patients do not come. J Prim Care Commun Health. 2013; 4(4): 251-255.
- 9Hwang AS, Atlas SJ, Cronin P, et al. Appointment “no-shows” are an independent predictor of subsequent quality of care and resource utilization outcomes. J Gen Intern Med. 2015; 30(10): 1426-1433.
- 10Norris JB, Kumar C, Chand S, Moskowitz H, Shade SA, Willis DR. An empirical investigation into factors affecting patient cancellations and no-shows at outpatient clinics. Decis Support Sys. 2014; 57: 428-443.
- 11Deyo, R.A., Inui T.S. Dropouts and broken appointments: A literature review and agenda for future research. Med Care, 1980: p. 1146–1157, 18, 11.
- 12Lacy NL, Paulman A, Reuter MD, Lovejoy B. Why we don't come: Patient perceptions on no-shows. The Ann Fam Med. 2004; 2(6): 541-545.
- 13Kheirkhah P, Feng Q, Travis LM, Tavakoli-Tabasi S, Sharafkhaneh A. Prevalence, predictors and economic consequences of no-shows. BMC Health Serv Res. 2015; 16(1): 13.
- 14Kwon ST et al. Factors associated with no-show in an Academic Medical Center. Korean Public Health Res. 2015; 41(2): 29-46.
- 15Kim S-H, Vel P, Whitt W, Cha WC. Poisson and non-Poisson properties in appointment-generated arrival processes: The case of an endocrinology clinic. Oper Res Lett. 2015; 43(3): 247-253.
- 16Park I-S, Jung S-J, Shin H-H. The association between weather conditions and the number of no-show patients at an Academic Medical Center. The Korean J of Health Serv Manag. 2017; 11(4): 41-51.
10.12811/kshsm.2017.11.4.041 Google Scholar
- 17Guy R, Hocking J, Wand H, Stott S, Ali H, Kaldor J. How effective are short message service reminders at increasing clinic attendance? A meta-analysis and systematic review. Health Serv Res. 2012; 47(2): 614-632.
- 18 Statistics Korea. Cause of death statistics. [cited 2018 April 16th]; Available from: http://kosis.kr/.
- 19Jung K-W, Won YJ, Kong HJ, et al. Cancer statistics in Korea: Incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat: Off J Korean Cancer Assoc. 2015; 47(2): 127-141.
- 20 Korean Medical Association. Study for the reformation healthcare delivery system-focusing on the role of tertiary hospitals. 2010, Korean Medical Association. 1-129.
- 21Margolis KL, Lurie N, McGovern PG, Slater JS. Predictors of failure to attend scheduled mammography appointments at a public teaching hospital. J Gen Intern Med. 1993; 8(11): 602-605.
- 22Percac-Lima S, Cronin PR, Ryan DP, Chabner BA, Daly EA, Kimball AB. Patient navigation based on predictive modeling decreases no-show rates in cancer care. Cancer. 2015; 121(10): 1662-1670.
- 23 National Cancer Information Center. Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence. [cited 2018 April 16th]; Available from: http://www.cancer.go.kr/.
- 24El-Din, M.M.N., Al-Shakhs F.N.. Al-Oudah S., Missed appointments at a university hospital in Eastern Saudi Arabia: Magnitude and association factors. 2008.
- 25Lehmann T et al. Missed appointments at a Swiss university outpatient clinic. Public Health. 2007; 121(10): 790-799.
- 26Torres O, Rothberg MB, Garb J, Ogunneye O, Onyema J, Higgins T. Risk factor model to predict a missed clinic appointment in an urban, academic, and underserved setting. Popul Health Manag. 2015; 18(2): 131-136.
- 27Harvey HB, Liu C, Ai J, et al. Predicting no-shows in radiology using regression modeling of data available in the electronic medical record. J Am Coll Radiol. 2017; 14(10): 1303-1309.
- 28Ahn J-C, Namgung Y, Lee O. A study on the relationship between medical service user's doctor-shopping behavior and the Internet use. J Korea Acad-Ind Coop Soc. 2011; 12(10).
- 29Lo AY et al. Doctor-shopping in Hong Kong: Implications for quality of care. International J Qual Health Care. 1994; 6(4): 371-381.
- 30Kasteler J, Kane RL, Olsen DM, Thetford C. Issues underlying prevalence of "doctor-shopping" behavior. J Health Soc Behav. 1976; 17(4): 328-339.
- 31McGill N. Public health looks to lessons from past in MERS outbreak: Experience with SARS offers insights. The Nation's Health. 2015; 45(6): 1-12.
- 32Kim Y. Healthcare policy and healthcare utilization behavior to improve hospital infection control after the Middle East respiratory syndrome outbreak. J Korean Med Assoc. 2015; 58(7): 598-605.
- 33Song YJ. The South Korean health care system. JMAJ. 2009; 52(3): 206-209.
- 34 Organization, W.H., Republic of Korea health system review. 2015: Manila: WHO Regional Office for the Western Pacific.
- 35Daggy J, Lawley M, Willis D, et al. Using no-show modeling to improve clinic performance. Health Informatics J. 2010; 16(4): 246-259.
- 36Liu C, Harvey HB, Jaworsky C, Shore MT, Guerrier CE, Pianykh O. Text message reminders reduce outpatient radiology no-shows but do not improve arrival punctuality. J Am Coll Radiol. 2017; 14(8): 1049-1054.