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November 1986, Vol 140, No. 11 >
Article | November 1986

Increasing the 'Show Rate' in a School Problems Clinic FREE

Gary B. Landman, MD, PhD; Edmund D. Meade; Petra F. Landman, MD, MPH
[+] Author Affiliations

Accepted for publication June 26, 1986.

Read in part before the 25th Annual Meeting of the Ambulatory Pediatrics Association, Washington, DC, May 10, 1985.

Reprint requests to CMSC Room 144, Department of Pediatrics, The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21205 (Dr G. B. Landman).


Am J Dis Child. 1986;140(11):1197-1198. doi:10.1001/archpedi.1986.02140250123048.
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• Appointment keeping was studied at a hospital-based clinic that evaluated children with school problems. Interventions aimed at improving the "show rate" included telephone reminders and withholding appointments until a parental form had been returned. Results indicated that telephone reminders did not improve appointment keeping. Requiring parents to return forms prior to being given an appointment did significantly increase the show rate (88% vs 57%). This increase could not be attributed to a change in patients' socioeconomic status or race, which remained constant during the entire study period. This intervention also reduced the clinic's waiting period and increased the number of patients seen each month. Data indicated that requiring parents to fill out forms prior to being given appointments resulted in improving the show rate, reducing the waiting period, and increasing the number of patients seen each month.

(AJDC 1986;140:1197-1198)

REFERENCES

1 +
Hurtado AV, Greenlick MR, Columbo TJ:  Determinants of medical care utilization: Failure to keep appointments . Med Care 1973;;11:189-198.
2 +
Shah CP, MacBride JR, Lamb GA:  Appointment systems: Why does a patient not return? Can J Public Health 1977;;68:148-153.
3 +
Levy R, Claravall V:  Differential effects of a phone reminder on appointment keeping for patients with long and short between visit intervals . Med Care 1977;;15:435-438.
4 +
Morse DL, Coulter MP, Nazarian LF, et al:  Waning effectiveness of mailed reminders on reducing broken appointments . Pediatrics 1981;; 68:846-849.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Hurtado AV, Greenlick MR, Columbo TJ:  Determinants of medical care utilization: Failure to keep appointments . Med Care 1973;;11:189-198.
2 +
Shah CP, MacBride JR, Lamb GA:  Appointment systems: Why does a patient not return? Can J Public Health 1977;;68:148-153.
3 +
Levy R, Claravall V:  Differential effects of a phone reminder on appointment keeping for patients with long and short between visit intervals . Med Care 1977;;15:435-438.
4 +
Morse DL, Coulter MP, Nazarian LF, et al:  Waning effectiveness of mailed reminders on reducing broken appointments . Pediatrics 1981;; 68:846-849.

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