MP83-17 SOCIOECONOMIC FACTORS ASSOCIATED WITH PATIENT NO SHOWS IN THE AMBULATORY UROLOGY CLINIC

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety IV (MP83)1 Apr 2020MP83-17 SOCIOECONOMIC FACTORS ASSOCIATED WITH PATIENT NO SHOWS IN THE AMBULATORY UROLOGY CLINIC Sabine Nguyen*, Angela Massey, Dan Norez, Shiva Gautam, Karthik Tanneru, Jatinder Kumar, Umar Alam, Mark Bandyk, Hariharan Ganapathi, Robert Marino, Shiva Gautam, Shahriar Koochekpour, Joseph Costa, and Kc Balaji Sabine Nguyen*Sabine Nguyen* More articles by this author , Angela MasseyAngela Massey More articles by this author , Dan NorezDan Norez More articles by this author , Shiva GautamShiva Gautam More articles by this author , Karthik TanneruKarthik Tanneru More articles by this author , Jatinder KumarJatinder Kumar More articles by this author , Umar AlamUmar Alam More articles by this author , Mark BandykMark Bandyk More articles by this author , Hariharan GanapathiHariharan Ganapathi More articles by this author , Robert MarinoRobert Marino More articles by this author , Shiva GautamShiva Gautam More articles by this author , Shahriar KoochekpourShahriar Koochekpour More articles by this author , Joseph CostaJoseph Costa More articles by this author , and Kc BalajiKc Balaji More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000975.016AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Patient no-show to scheduled outpatient ambulatory clinic appointments adversely impacts healthcare costs and the quality of patient care. In this study, we seek to identify factors, especially those that may have socioeconomic implications, associated with patient no-shows in our county’s academic urology clinics. METHODS: A retrospective chart review was conducted on patients who were scheduled at the main urology clinics of our academic center between April 2018 and 2019. The total number of appointments scheduled and patient attendance were computed at each clinical site. Patient attendance was further analyzed according to type of scheduled appointment, type of clinician seen, and socioeconomic status based on the patient’s insurance coverage and domicile represented as Health Zones. Chi-square test and simple and multiple regression analysis were performed in order to determine the relationship between patient no-show and the variables for appointment characteristics. RESULTS: A total of 1,472 (13.8%) of the 10,709 scheduled appointments were no-show patients. Statistical significance was established between patient no-show and the multiple appointment and socioeconomic variables. There was a higher no-show rate for non-private faculty clinic than private faculty clinic (15.1% vs 9.0% respectively; p<0.0001), and appointments booked with advanced healthcare providers (16.5%) compared to with urologists (12.6%) (OR=1.20, 95% CI 1.05-1.38; p<0.0278). On regression analysis, no-show clinic patients were strongly associated with those who had no health insurance (OR=30.00, 95% CI: 23.73-37.92; p<0.0001) and those who reside in our county’s Health Zone 1 (OR=1.96, 95% CI:1.63-2.37; p<0.0001), in which the population reports a household income of 30% below poverty level and is only one-third high-school educated. Overall, the cohort of patients who are at risk for no-show are scheduled at the non-private faculty clinic with either no insurance or public insurance and reside in health zone 1. CONCLUSIONS: Identifying the cohort of patients who are at risk for no-show allows for implementation of changes to this specific target population, which may help curtail the number of future patient non-attendance to urology appointments. Source of Funding: none © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1262-e1262 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Sabine Nguyen* More articles by this author Angela Massey More articles by this author Dan Norez More articles by this author Shiva Gautam More articles by this author Karthik Tanneru More articles by this author Jatinder Kumar More articles by this author Umar Alam More articles by this author Mark Bandyk More articles by this author Hariharan Ganapathi More articles by this author Robert Marino More articles by this author Shiva Gautam More articles by this author Shahriar Koochekpour More articles by this author Joseph Costa More articles by this author Kc Balaji More articles by this author Expand All Advertisement PDF downloadLoading ...