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Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics
INTRODUCTION: Missed appointments (MAs) at child development centres (ChDCs) cause multiple problems: they preclude timely diagnosis and treatment of both the invited child and children whose appointment was delayed due to overbooking, as well as disrupting efficient organisational management. The a...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9544127/ https://www.ncbi.nlm.nih.gov/pubmed/35709352 http://dx.doi.org/10.1002/hpm.3503 |
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author | Hirsh‐Yechezkel, Galit Glasser, Saralee Gabis, Lidia V. Eden, Avi Savitzki, David Farhi, Adel Luxenburg, Osnat Levitan, Gila Lerner‐Geva, Liat |
author_facet | Hirsh‐Yechezkel, Galit Glasser, Saralee Gabis, Lidia V. Eden, Avi Savitzki, David Farhi, Adel Luxenburg, Osnat Levitan, Gila Lerner‐Geva, Liat |
author_sort | Hirsh‐Yechezkel, Galit |
collection | PubMed |
description | INTRODUCTION: Missed appointments (MAs) at child development centres (ChDCs) cause multiple problems: they preclude timely diagnosis and treatment of both the invited child and children whose appointment was delayed due to overbooking, as well as disrupting efficient organisational management. The aim of this study was to assess the rate and describe the reasons for missed appointments at Israeli ChDCs, and to evaluate the association of socio‐demographic, clinical, and administrative variables with MA rates. METHODS: This nested case‐control study included all children scheduled for initial appointments (N = 1143) at three centres during 1 year. Parents of children who missed their appointment and a sample of those who attended were interviewed by telephone. RESULTS: The rate of missed appointments was 26.6%, and the most frequent reasons were unexpected events (26.0%) and lack of insurance coverage (23.4%). Variables associated with lower MA rates were: having had ≥3 types of rehabilitative interventions (odds ratios (OR) = 0.26; 95% confidence interval [CI] 0.16–0.44), detailed referral letter (OR = 0.48; 95%CI 0.30–0.75), telephone reminder (OR = 0.37; 95%CI 0.24–0.57) and health maintenance organisations or private insurance coverage (OR = 0.12; 95%CI 0.06–0.17 and OR = 0.56; 95% CI 0.38–0.89, respectively). CONCLUSION: Encouraging physician's referral letters and personal‐contact reminders can reduce missed appointments. Understanding the family's and the child's personal characteristics, and the organisational/administrative aspects of missed appointments may guide efforts to ensure timely care for every child. |
format | Online Article Text |
id | pubmed-9544127 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95441272022-10-14 Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics Hirsh‐Yechezkel, Galit Glasser, Saralee Gabis, Lidia V. Eden, Avi Savitzki, David Farhi, Adel Luxenburg, Osnat Levitan, Gila Lerner‐Geva, Liat Int J Health Plann Manage Research Articles INTRODUCTION: Missed appointments (MAs) at child development centres (ChDCs) cause multiple problems: they preclude timely diagnosis and treatment of both the invited child and children whose appointment was delayed due to overbooking, as well as disrupting efficient organisational management. The aim of this study was to assess the rate and describe the reasons for missed appointments at Israeli ChDCs, and to evaluate the association of socio‐demographic, clinical, and administrative variables with MA rates. METHODS: This nested case‐control study included all children scheduled for initial appointments (N = 1143) at three centres during 1 year. Parents of children who missed their appointment and a sample of those who attended were interviewed by telephone. RESULTS: The rate of missed appointments was 26.6%, and the most frequent reasons were unexpected events (26.0%) and lack of insurance coverage (23.4%). Variables associated with lower MA rates were: having had ≥3 types of rehabilitative interventions (odds ratios (OR) = 0.26; 95% confidence interval [CI] 0.16–0.44), detailed referral letter (OR = 0.48; 95%CI 0.30–0.75), telephone reminder (OR = 0.37; 95%CI 0.24–0.57) and health maintenance organisations or private insurance coverage (OR = 0.12; 95%CI 0.06–0.17 and OR = 0.56; 95% CI 0.38–0.89, respectively). CONCLUSION: Encouraging physician's referral letters and personal‐contact reminders can reduce missed appointments. Understanding the family's and the child's personal characteristics, and the organisational/administrative aspects of missed appointments may guide efforts to ensure timely care for every child. John Wiley and Sons Inc. 2022-06-16 2022-09 /pmc/articles/PMC9544127/ /pubmed/35709352 http://dx.doi.org/10.1002/hpm.3503 Text en © 2022 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Research Articles Hirsh‐Yechezkel, Galit Glasser, Saralee Gabis, Lidia V. Eden, Avi Savitzki, David Farhi, Adel Luxenburg, Osnat Levitan, Gila Lerner‐Geva, Liat Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics |
title | Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics |
title_full | Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics |
title_fullStr | Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics |
title_full_unstemmed | Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics |
title_short | Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics |
title_sort | missed initial appointments at israeli child development centres: rate, reasons, and associated characteristics |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9544127/ https://www.ncbi.nlm.nih.gov/pubmed/35709352 http://dx.doi.org/10.1002/hpm.3503 |
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