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

doi:10.1002/hpm.3503

Cited by 2 publications

(1 citation statement)

References 41 publications

(77 reference statements)

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“…An Israeli study carried out in Shaare Zedek Medical Center found that 15% of ENT appointments and 16% of orthopedics appointments did not take place due to patient no-show [ 4 ]. Another study, which examined reasons for no-show in child development centers, observed an average rate of 26.6%, with the most common reason being an unexpected event (26.0%), followed by problems in obtaining a financial commitment from the HP that is paying for the treatment (23.4%) [ 5 ].…”

Section: Main Textmentioning

confidence: 99%

To charge or not to charge: reducing patient no-show

Leibner,

Brammli-Greenberg,

Mendlovic

et al. 2023

Isr J Health Policy Res

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Background In order to reduce patient no-show, the Israeli government is promoting legislation that will allow Health Plans to require a co-payment from patients when reserving an appointment. It is hoped that this will create an incentive for patients to cancel in advance rather than simply not show up. The goal of this policy is to improve patient access to medical care and ensure that healthcare resources are utilized effectively. We explore this phenomenon to support evidence-based decision making on this issue, and to determine whether the proposed legislation is aligned with the findings of previous studies. Main body No-show rates vary across countries and healthcare services, with several strategies in place to mitigate the phenomenon. There are three key stakeholders involved: (1) patients, (2) medical staff, and (3) insurers/managed care organizations, each of which is affected differently by no-shows and faces a different set of incentives. The decision whether to impose financial penalties for no-shows should take a number of considerations into account, such as the fine amount, service type, the establishment of an effective fine collection system, the patient’s socioeconomic status, and the potential for exacerbating disparities in healthcare access. The limited research on the impact of fines on no-show rates has produced mixed results. Further investigation is necessary to understand the influence of fine amounts on no-show rates across various healthcare services. Additionally, it is important to evaluate the implications of this proposed legislation on patient behavior, access to healthcare, and potential disparities in access. Conclusion It is anticipated that the proposed legislation will have minimal impact on attendance rates. To achieve meaningful change, efforts should focus on enhancing medical service availability and improving the ease with which appointments can be cancelled or alternatively substantial fines should be imposed. Further research is imperative for determining the most effective way to address the issue of patient no-show and to enhance healthcare system efficiency.

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Section: Main Textmentioning

confidence: 99%

To charge or not to charge: reducing patient no-show

Leibner,

Brammli-Greenberg,

Mendlovic

et al. 2023

Isr J Health Policy Res

View full text Add to dashboard Cite

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Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics

Hirsh-Yechezkel

Glasser

Gabis

et al. 2022

Health Planning & Management

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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.

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Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics

Cited by 2 publications

References 41 publications

To charge or not to charge: reducing patient no-show

To charge or not to charge: reducing patient no-show

Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics

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