Department of Otolaryngology-Head and Neck Surgery.
College of Public Health.
Otol Neurotol. 2023 Oct 1;44(9):e648-e652. doi: 10.1097/MAO.0000000000003997. Epub 2023 Aug 15.
To evaluate factors associated with no-show rates in a pediatric audiology clinic.
Retrospective review.
Tertiary referral center.
All pediatric patients younger than 18 years whose parents/guardians scheduled an appointment at a tertiary Audiology Clinic between June 1, 2015, and July 1, 2017.
Data included whether the patient came to their appointment, patient age, sex, race, insurance type, appointment type, location, season of appointment, and day of the week of the appointment.
Of the 7,784 pediatric appointments scheduled with audiology, the overall no-show rate was 24.3% (n = 1893). Lower age was significantly associated with no-shows ( p = 0.0003). Black/African American children were more likely to no-show compared with White/Caucasians ( p = 0.0001). Compared with self-pay/military/other insurance, those with Medicaid were more likely to no-show ( p = 0.0001). The highest rate of no-shows occurred during summer (27%). On multivariate analysis, younger age, Black/African American race, and Medicaid insurance were associated with increased no-show rates.
A variety of factors influence no-show rates in a pediatric audiology setting. No-shows can affect treatment quality and affect overall hearing outcomes. Further investigation is necessary to assess barriers to appointment adherence and to develop interventions to improve adherence and care.
评估小儿听力学诊所失约率相关因素。
回顾性研究。
三级转诊中心。
所有在 2015 年 6 月 1 日至 2017 年 7 月 1 日期间在三级听力学诊所预约的 18 岁以下小儿患者及其父母/监护人。
数据包括患者是否前来就诊、患者年龄、性别、种族、保险类型、预约类型、就诊地点、就诊季节和就诊日期。
在 7784 次小儿听力学预约中，整体失约率为 24.3%（n=1893）。较低的年龄与失约显著相关（p=0.0003）。与白人/高加索人相比，黑种人/非裔美国人更有可能失约（p=0.0001）。与自付/军人/其他保险相比，拥有医疗补助保险的人更有可能失约（p=0.0001）。失约率最高的是夏季（27%）。多变量分析显示，年龄较小、黑种人/非裔美国人种族和医疗补助保险与失约率增加相关。
多种因素影响小儿听力学环境中的失约率。失约会影响治疗质量，并影响整体听力结果。需要进一步调查以评估预约依从性的障碍，并制定干预措施以提高依从性和护理质量。
