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Patient Appointment Failures in Pediatric Resident Continuity Clinics

Cynthia T. Rust, MD; Nancy H. Gallups, MD; W. Scott Clark, PhD; Donna S. Jones, MD; Wallace D. Wilcox, MD
Arch Pediatr Adolesc Med. 1995;149(6):693-695. doi:10.1001/archpedi.1995.02170190103018.
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Objectives:  To determine appointment failure rates in pediatric resident continuity clinics nationally, and to identify characteristics of clinics with respect to factors that may affect appointment failure rates.

Design:  A one-page questionnaire administered via facsimile machine to pediatric residencies' continuity clinic directors.

Results:  Of 200 continuity clinic directors, 160 (80%) returned the survey. The mean no-show percentage was 30.9%, with a range of 3% to 80%. Among the factors studied, only mode of payment emerged as an independent predictor.

Conclusions:  Appointment failure is a substantial problem in pediatric resident continuity clinics, which needs attention if resident learning, patient care, and clinic efficiency are to be optimized.(Arch Pediatr Adolesc Med. 1995;149:693-695)


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