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  1. The incidence of cancellation and nonattendance at a dermatology clinic.

    Article - En anglais

    Background 

    Same-day cancellation of appointments and nonattendance by patients can disrupt management of certain aspects of medical delivery and lead to inefficient allocation of resources and lost revenue.

    The frequency of cancellation and nonattendance at dermatology clinics has not been well documented.

    Objective 

    We measured same-day cancellation and nonattendance in a university dermatology clinic.

    Methods 

    We tabulated clinic attendees, same-day cancellations, and nonattendance for a 6-month period.

    We examined distribution by gender, type of payer, and clinic visit type (initial or follow-up).

    Results 

    Total same-day cancellation rate was 8.3%. Female patients canceled more frequently than male patients (9.2% vs 7.3%, P=02).

    Cancellation rates were similar for initial and follow-up visits.

    The nonattendance rate was 17% with the highest rates found in state-supported categories (26%) and the lowest in commercial insurance programs (13%). Nonattendance rates did not vary significantly by gender or visit type.

    Conclusion 

    Same-day cancellation and clinic nonattendance is a significant factor in the efficient fiscally sound management of a busy dermatology clinic.

    The risk of nonattendance is assumed by physicians and seems to be correlated with payer type.

    Mots-clés Pascal : Consultation hospitalière, Dermatologie, Gestion hospitalière, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Hospital consultation, Dermatology, Hospital management, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0270604

    Code Inist : 002B30A04D. Création : 16/11/1999.