Failure to keep appointments at a community health centre. Analysis of causes.
The scheduled appointment system in primary care clinics became popular recently in Israel. Failed appointments created a problem for the doctors, patients and the clinic in Netivot. During 11 months, 2.317 appointments were surveyed. The survey showed 36% of failed appointments, with a decrease to 28% one year later. Rates of failed appointments were 38% for the paediatric population, 35% for adults, and 34% for pensioners. Market days and holidays predisposed to more failed appointments, representing community customs. The presence of a chronic disease that needed follow up ensured a higher rate of attendance (76%), especially among the paediatric population (92% attendance rate). By contrast, a geriatric patient with an acute disease had difficulty attending the clinic (only 16% attending). 512 people (35% of the population) were responsible for the 827 failed appointments, and among them only 12% of the population accounted for 59% of the failed appointments. These findings have important implications in the planning of an appointment system in an urban health centre, and they strengthen the assumption that a small number of patients cause a large number of failed appointments.
Hermoni
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National Institute for Redisency Training in Family Medicine and Primary care, Ben Gurion University, Negev, Israel.
Mankuta
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Reis
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D000293:Adolescent; D000328:Adult; D000368:Aged; D001071:Appointments and Schedules; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003151:Community Health Centers; D003266:Continuity of Patient Care; D005260:Female; D006801:Humans; D007557:Israel; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011320:Primary Health Care; D011795:Surveys and Questionnaires