Toward determining the structure of psychiatric visit nonadherence.
Visit nonadherence, that is, "no shows," in psychiatry costs the US healthcare $100 billion every year. Nonadherent visits undermine healthcare quality improvement efforts and erode patients' health. Previous research has focused on patient demographics or on redundant scheduling, rather than on the actual structure of visit nonadherence. Drawing on a comprehensive literature review and a series of 3 studies, we identify 22 determinants that contribute to visit nonadherence. Significantly, 8 of these determinants seem to account for most of the variance in modeling visit nonadherence. This work lays the foundation to develop prognostic tools for reducing nonadherent visits in ambulatory care.
Department of Health Management and Informatics, University of Missouri School of Medicine, Columbia, MO 65212, USA. alafaireetp@health.missouri.edu
Patricia
P
Alafaireet
Howard
H
Houghton
Gregory
G
Petroski
Yang
Y
Gong
Grant T
GT
Savage
D000553:Ambulatory Care; D001071:Appointments and Schedules; D008605:Mental Health Services; D010349:Patient Compliance; D011785:Quality Assurance, Health Care; D014481:United States