From the Division of Urogynecology and Reconstructive Pelvic Surgery.
Department of Obstetrics, Gynecology and Reproductive Sciences, UPMC Magee-Womens Hospital, University of Pittsburgh School of Medicine.
Urogynecology (Phila). 2024 Mar 1;30(3):314-319. doi: 10.1097/SPV.0000000000001475.
No-show appointments, or scheduled appointments that patients do not attend without giving notice of cancellation, are a prevalent problem in the outpatient setting.
The objective of this study was to compare the proportion of patients by decades of life who "no-show" to their urogynecology appointments.
This retrospective cohort included women 20 years and older who did not show to their urogynecologic clinical encounters at an academic practice between January 1, 2022, and December 31, 2022. Demographics and visit history were recorded. The primary outcome was the proportion of patients by decade of age who were a "no-show" to their appointments. All decades were compared with women in their 70s, the decade with the most patients seen. Secondary outcomes included descriptive data of patients. Descriptive statistics and χ2 analyses were used.
The cohort of 450 no-show encounters (composed of 391 patients), out of 6729 encounters, demonstrated an overall no-show rate of 6.7%. Baseline demographics of "no-show" patients were 67.3% White and 27.4% Black. The odds of women in their 20s-50s who no-show was 2-3 times higher than women in their 70s (P < 0.01). The highest no-show rates occurred in 20s (12.6%) and 40s (11.8%). Forty-six patients missed multiple appointments. The odds of a Black patient having multiple no-shows was 3.15 times higher than the odds of a White patient.
No-show rates are low in this urogynecology practice. Younger women are more likely to no-show. This knowledge can facilitate potential double bookings necessary for urgent appointments and to maximize resource utilization.
未出现预约，即患者未事先通知取消而未出席的预约，是门诊环境中普遍存在的问题。
本研究旨在比较不同年龄段患者未出现在泌尿妇科预约中的比例。
本回顾性队列研究纳入了 20 岁及以上在学术实践中心就诊但未出现在泌尿妇科临床就诊的女性。记录了人口统计学和就诊史。主要结局是按年龄十年分组的患者未出现预约的比例。所有十年组均与 70 多岁的患者进行比较，这是就诊人数最多的十年组。次要结局包括患者的描述性数据。使用描述性统计和 χ2 分析。
在 6729 次就诊中，有 450 次未出现就诊（由 391 名患者组成），总体未出现就诊率为 6.7%。“未出现”患者的基线人口统计学特征为 67.3%为白人，27.4%为黑人。20 多岁至 50 多岁女性未出现就诊的几率是 70 多岁女性的 2-3 倍（P < 0.01）。未出现就诊率最高的是 20 多岁（12.6%）和 40 多岁（11.8%）。46 名患者多次错过预约。黑人患者多次未出现就诊的几率是白人患者的 3.15 倍。
在这家泌尿妇科诊所，未出现就诊率较低。年轻女性更有可能未出现就诊。这种知识可以促进为紧急预约进行潜在的双重预约，并最大限度地利用资源。
