一家学术性儿科神经科诊所中“未到诊”的预估成本。
The estimated cost of "no-shows" in an academic pediatric neurology clinic.
作者信息
Guzek Lindsay M, Gentry Shelley D, Golomb Meredith R
机构信息
Division of Child Neurology, Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana.
Division of Child Neurology, Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana.
出版信息
Pediatr Neurol. 2015 Feb;52(2):198-201. doi: 10.1016/j.pediatrneurol.2014.10.020. Epub 2014 Oct 30.
OBJECTIVE
Missed appointments ("no-shows") represent an important source of lost revenue for academic medical centers. The goal of this study was to examine the costs of "no-shows" at an academic pediatric neurology outpatient clinic.
METHODS
This was a retrospective cohort study of patients who missed appointments at an academic pediatric neurology outpatient clinic during 1 academic year. Revenue lost was estimated based on average reimbursement for different insurance types and visit types.
RESULTS
The yearly "no-show" rate was 26%. Yearly revenue lost from missed appointments was $257,724.57, and monthly losses ranged from $15,652.33 in October 2013 to $27,042.44 in January 2014.
CONCLUSIONS
The yearly revenue lost from missed appointments at the academic pediatric neurology clinic represents funds that could have been used to improve patient access and care. Further work is needed to develop strategies to decrease the no-show rate to decrease lost revenue and improve patient care and access.
目的
失约（“未到诊”）是学术性医学中心收入损失的一个重要来源。本研究的目的是调查一家学术性儿科神经科门诊诊所的“未到诊”成本。
方法
这是一项回顾性队列研究，研究对象为在1个学年中未到一家学术性儿科神经科门诊诊所就诊的患者。根据不同保险类型和就诊类型的平均报销费用估算收入损失。
结果
年度“未到诊”率为26%。因未到诊导致的年度收入损失为257,724.57美元，月度损失从2013年10月的15,652.33美元到2014年1月的27,042.44美元不等。
结论
学术性儿科神经科诊所因未到诊导致的年度收入损失代表了本可用于改善患者就医机会和医疗服务的资金。需要进一步开展工作以制定策略降低未到诊率，从而减少收入损失并改善患者医疗服务和就医机会。
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