Department of Pediatrics, Emory University School of Medicine and Division of Neurology, Children's Hospital of Atlanta, Atlanta, GA, USA.
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
J Child Neurol. 2024 Jun;39(7-8):268-274. doi: 10.1177/08830738241264432. Epub 2024 Jul 23.
Missed medical appointments are a common problem across specialties. The discontinuity of care leads to unplanned health care utilization, increased costs, and poor health outcomes. Previous studies evaluating pediatric epilepsy have shown significant socioeconomic barriers to care. In several specialties, resident clinic no-show rates are higher than faculty clinics because of socioeconomic barriers. We sought to understand the relationship between race, socioeconomic factors, and missed appointments in a pediatric neurology resident clinic at a large tertiary care hospital. Resident clinic encounters for 1 year were extracted and analyzed for missed appointments, socioeconomic factors, and health care utilization. We found that missed appointments occur for 1 in 5 patients and correlate with socioeconomic factors (eg, income and insurance) and race. Race was a more significant factor than socioeconomic factors for missed appointments. These results provide areas to target and track interventions to improve health outcomes in children in pediatric neurology clinics.
错过医疗预约在各个专业中都很常见。这种医疗服务的不连续会导致无计划的医疗保健利用、增加成本和不良的健康结果。以前评估儿科癫痫的研究表明，护理存在显著的社会经济障碍。在一些专业中，由于社会经济障碍，住院医师诊所的未到诊率高于教师诊所。我们试图了解在一家大型三级保健医院的儿科神经病学住院医师诊所中，种族、社会经济因素和错过预约之间的关系。提取并分析了 1 年的住院医师诊所就诊情况，以了解错过预约、社会经济因素和医疗保健利用情况。我们发现，每 5 个患者中就有 1 个错过预约，且与社会经济因素（如收入和保险）和种族相关。对于错过预约，种族是比社会经济因素更重要的因素。这些结果为改善儿科神经病学诊所中儿童的健康结果提供了目标和跟踪干预措施的领域。
