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No-Show Rates in an Academic Otolaryngology Practice Before and During the COVID-19 Pandemic.
Yuhan, Brian T; Yasuda, Mayuri A; Joshi, Radhika; Charous, Steven; Hurtuk, Agnes.
Afiliación
  • Yuhan BT; Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, USA.
  • Yasuda MA; Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, USA.
  • Joshi R; Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, USA.
  • Charous S; Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, USA.
  • Hurtuk A; Otolaryngology - Head and Neck Surgery, Loyola University Medical Center, Maywood, USA.
Cureus ; 16(2): e54015, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38476808
ABSTRACT

OBJECTIVE:

Our objectives were to determine the no-show and nonattendance rate for an outpatient academic otolaryngology practice, to identify patient and systemic factors associated with nonattendance, and to evaluate the impact that the COVID-19 pandemic had on the rate of nonattendance.

METHODS:

This is a retrospective review of the Epic practice management and billing reports from all scheduled outpatient visits at a multi-physician, academic, general, and sub-specialty otolaryngology practice from January 2019 to December 2021.

RESULTS:

Over three years, 121,347 clinic visits were scheduled in the otolaryngology practice. The overall nonattendance rate was 18.3%. A statistically significant increase in nonattendance was noted during the COVID-19 pandemic (16.8% vs. 19.8%, p < 0.001). The rate of nonattendance in patients of younger age (under 18 years) (p <0.001), female gender (p=0.03), afternoon appointments (p=0.04), and extended time between the day of scheduling and the day of appointment (p <0.001) increased. Head and neck clinics were found to have the lowest nonattendance rates, while pediatric otolaryngology clinics had the highest (12.6% vs. 21.3%). On multivariate regression, younger age (p < 0.001), female gender (p=0.01), afternoon appointments (p< 0.001), and online self-scheduling (p< 0.001) were significantly associated with nonattendance.

CONCLUSIONS:

Both patient and appointment-related factors were found to impact rates of nonattendance in this academic otolaryngology practice. In this study, young age, female gender, afternoon appointments, and online self-scheduling were associated with increased nonattendance. In addition, the COVID-19 pandemic significantly impacted no-show rates across all otolaryngologic subspecialties.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos