This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (3) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Specht, E. M. Articles by Dormo, C. A. Search for Related Content PubMed PubMed Citation Articles by Specht, E. M. Articles by Dormo, C. A. Social Bookmarking                         What's this?

Factors Affecting Missed Appointment Rates for Pediatric Patients Insured by Medicaid in a Traditional Hospital-Based Resident Clinic and Hospital-Owned Practice Settings

Northeastern Ohio Universities College of Medicine, Rootstown, OH

Keith R. Powell, MD

Akron Children’s Hospital, and Professor and Chairperson, Department of Pediatrics, Northeastern Ohio Universities College of Medicine, Akron, OH

Cynthia A. Dormo, MBA, CHFP

Children’s Hospital Physician Associates, Akron Children’s Hospital, Akron, OH

Missed appointment rates (MAR) of pediatric patients insured by Medicaid and seen in a traditional hospital-based continuity (teaching) clinic were compared to the rates for the same patients after their care had been transitioned to a community practice. The hypothesis is that when rewarded with shorter waiting times, a less chaotic environment, and more pediatrician continuity, the MAR for patients insured by Medicaid would be lower in the practice setting than it had been in continuity clinic. The MAR decreased from 33% in the continuity clinic in 1999 to 18% in the community practice in 2001 (p<0.01). It was also hypothesized that the MAR for patients insured by Medicaid would be higher in practices with a higher percentage of Medicaid appointments. Among 15 hospital-owned pediatric practices, the MAR for patients insured by Medicaid was positively correlated with the percentage of total appointments that were made by patients insured by Medicaid (correlation coefficient 0.706 [p<0.01]).

Clinical Pediatrics, Vol. 43, No. 8, 749-752 (2004)
DOI: 10.1177/000992280404300810


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				M. E. O'Connor, B. S. Matthews, and D. Gao Effect of open access scheduling on missed appointments, immunizations, and continuity of care for infant well-child care visits. Arch Pediatr Adolesc Med, September 1, 2006; 160(9): 889 - 893. [Abstract] [Full Text] [PDF]