The effect of a carve-out advanced access scheduling system on no-show rates.
OBJECTIVE
The relationship between advanced access scheduling and no-show rates in academic settings is unclear. The purpose of this analysis is to assess the effect of moving to a carve-out model of an advanced access scheduling system on no-show rates in an academic practice.


METHODS
A multivariable logistic regression with repeated measures analysis of patient visits was used to assess the relationship between the time to third-next available appointment and no-show rates.


RESULTS
The time to third-next available appointment was not a significant factor in appointment-keeping behavior. Rather, provider-patient continuity, wait time for an appointment, the number of previous appointments, and type of provider were strong predictors of a patient no-show.


CONCLUSIONS
Implementation of the concepts of advanced access scheduling does not directly result in a reduction in no-show rates; rather, provider-patient continuity, wait time to an appointment, and other factors may be a more important measure.
Bennett
Kevin J
KJ
Department of Family and Preventive Medicine, University of South Carolina, SC 29203, USA. kevin.bennett@sc.edu
Baxley
Elizabeth G
EG
D000293:Adolescent; D000328:Adult; D000368:Aged; D001071:Appointments and Schedules; D003266:Continuity of Patient Care / Q000458:organization & administration* / Q000706:statistics & numerical data; D005194:Family Practice / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D012044:Regression Analysis; D012959:Socioeconomic Factors; D013022:South Carolina; D013997:Time Factors; D055815:Young Adult