title: Predictors of repeated "no-showing" to clinic appointments.
abstract: OBJECTIVE
  To determine the variables that contribute to repeated patient non-compliance with showing up to clinic appointments.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  Single tertiary care academic institution.
  
  
  METHODS
  Patients who did not show up to 3 or more clinic appointments in the otolaryngology department in the Henry Ford Health System in metro Detroit, Michigan between July 1, 2011 to June 30, 2012 area were compared to control patients randomly chosen from those who had appointments on the same day with the same provider as the no-show patients.
  
  
  RESULTS
  105 patients were identified who no-showed to 3 or more clinic appointments. Younger age, black race, and lower income were all found to be significant factors for patients missing appointments in a multiple variate model. On logistic regression, Medicaid insurance, closer distance from home to appointment, less bus transfers, and less time by bus travel were also found to correlate with no-showing.
  
  
  CONCLUSIONS
  Age, race, and income are significantly related to patient non-compliance with clinic appointments. Paradoxically, proximity to the clinical appointment location is also significantly related - we hypothesize this may be the result of significant income inequality in the metro Detroit population distribution. Follow up studies include analyzing factors that precluded patient access and interventions to improve compliance and decrease cost.
authors: Henry Ford Health System, 2799 West Grand Blvd, Detroit, MI 48202. Electronic address: Amille10@hfhs.org.
authors: Anya J
authors: AJ
authors: Miller
authors: Wayne State Medical School, 540 E Canfield St, Detroit, MI 48201.
authors: Esther
authors: E
authors: Chae
authors: Henry Ford Health System, 2799 West Grand Blvd, Detroit, MI 48202.
authors: Ed
authors: E
authors: Peterson
authors: Henry Ford Health System, 2799 West Grand Blvd, Detroit, MI 48202.
authors: Alvin B
authors: AB
authors: Ko
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000367:Age Factors; D000368:Aged; D001071:Appointments and Schedules; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008824:Michigan; D008875:Middle Aged; D000067455:No-Show Patients / Q000706:statistics & numerical data*; D010036:Otolaryngology; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D055815:Young Adult