Sigma Rho Chapter, University of Michigan, Ann Arbor (Dr Knight); and Nexus, College of Engineering, University of Michigan, Ann Arbor (Dr Hammett).
J Ambul Care Manage. 2021 Jan/Mar;44(1):46-55. doi: 10.1097/JAC.0000000000000340.
Pediatric missed appointments impact patient outcomes and the financial well-being of clinics. Our purpose was to implement the Six Sigma methodology at a pediatric clinic to (1) identify significant predictor factors of missed appointments and develop a prediction model and (2) implement interventions to reduce the missed appointment rate. Binary logistic regression identified historical no-show rate, high-risk visit types, lack of insurance, the number of provider visits, and appointment lead time as significant predictor factors. Interventions led to a significant drop in the missed appointment rate and the no-show rate.
儿科失约会影响患者的治疗效果和诊所的财务状况。我们的目的是在一家儿科诊所实施六西格玛方法，（1）确定失约的显著预测因素，并开发预测模型，以及（2）实施干预措施，以降低失约率。二元逻辑回归确定了历史未到诊率、高风险就诊类型、缺乏保险、就诊次数和预约提前时间是显著的预测因素。干预措施显著降低了失约率和未到诊率。
