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No-Shows in Outpatient Medical Institutions in Germany – A Pilot Study about Explanations of Patients Why they Missed their Appointment

Received: 10 May 2014    Accepted: 20 May 2014    Published: 30 May 2014
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Abstract

Patients, who miss an appointment in medical institutions (so called “no-shows”) cause a significant damage to the health care system. We asked 181 patients (65% female, 35% male; average age 43.7 y.) how often they missed appointments in the past 12 months. The questionnaire’s reliability was r = 0.76. We recorded 2,778 events. 3.13% of the appointment were missed and 0.43% came much too late. Most common reasons were forgetfulness and confusion of dates. Severity of pain and health-limitations correlated positive with punctuality. Among the no-shows were significantly more unemployed subjects than people with an occupation. There was no significant difference between pensioners and unemployed participants. Only 25% found memory aids such as letters, phone calls or short text messages helpful before the appointment. 60% of patients agreed to pay a fee of max. 1.- € for such a service. As charge for doctor’s loss of income due to the missed appointment a payment between 10.- € and 20.- € was judged to be appropriate. Two groups of "persons of risk" have been identified: 1. non-working people and 2. patients with poor memory. Both groups valued reminders for the appointment positively.

Published in Science Journal of Public Health (Volume 2, Issue 3)
DOI 10.11648/j.sjph.20140203.27
Page(s) 238-242
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

No-Shows, Appointments, Missed Appointments, Reminders

References
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  • APA Style

    Wolfgang Frank, Erich Kasten. (2014). No-Shows in Outpatient Medical Institutions in Germany – A Pilot Study about Explanations of Patients Why they Missed their Appointment. Science Journal of Public Health, 2(3), 238-242. https://doi.org/10.11648/j.sjph.20140203.27

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    ACS Style

    Wolfgang Frank; Erich Kasten. No-Shows in Outpatient Medical Institutions in Germany – A Pilot Study about Explanations of Patients Why they Missed their Appointment. Sci. J. Public Health 2014, 2(3), 238-242. doi: 10.11648/j.sjph.20140203.27

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    AMA Style

    Wolfgang Frank, Erich Kasten. No-Shows in Outpatient Medical Institutions in Germany – A Pilot Study about Explanations of Patients Why they Missed their Appointment. Sci J Public Health. 2014;2(3):238-242. doi: 10.11648/j.sjph.20140203.27

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  • @article{10.11648/j.sjph.20140203.27,
      author = {Wolfgang Frank and Erich Kasten},
      title = {No-Shows in Outpatient Medical Institutions in Germany – A Pilot Study about Explanations of Patients Why they Missed their Appointment},
      journal = {Science Journal of Public Health},
      volume = {2},
      number = {3},
      pages = {238-242},
      doi = {10.11648/j.sjph.20140203.27},
      url = {https://doi.org/10.11648/j.sjph.20140203.27},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20140203.27},
      abstract = {Patients, who miss an appointment in medical institutions (so called “no-shows”) cause a significant damage to the health care system. We asked 181 patients (65% female, 35% male; average age 43.7 y.) how often they missed appointments in the past 12 months. The questionnaire’s reliability was r = 0.76. We recorded 2,778 events. 3.13% of the appointment were missed and 0.43% came much too late. Most common reasons were forgetfulness and confusion of dates. Severity of pain and health-limitations correlated positive with punctuality. Among the no-shows were significantly more unemployed subjects than people with an occupation. There was no significant difference between pensioners and unemployed participants. Only 25% found memory aids such as letters, phone calls or short text messages helpful before the appointment. 60% of patients agreed to pay a fee of max. 1.- € for such a service. As charge for doctor’s loss of income due to the missed appointment a payment between 10.- € and 20.- € was judged to be appropriate. Two groups of "persons of risk" have been identified: 1. non-working people and 2. patients with poor memory. Both groups valued reminders for the appointment positively.},
     year = {2014}
    }
    

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    DO  - 10.11648/j.sjph.20140203.27
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
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    AB  - Patients, who miss an appointment in medical institutions (so called “no-shows”) cause a significant damage to the health care system. We asked 181 patients (65% female, 35% male; average age 43.7 y.) how often they missed appointments in the past 12 months. The questionnaire’s reliability was r = 0.76. We recorded 2,778 events. 3.13% of the appointment were missed and 0.43% came much too late. Most common reasons were forgetfulness and confusion of dates. Severity of pain and health-limitations correlated positive with punctuality. Among the no-shows were significantly more unemployed subjects than people with an occupation. There was no significant difference between pensioners and unemployed participants. Only 25% found memory aids such as letters, phone calls or short text messages helpful before the appointment. 60% of patients agreed to pay a fee of max. 1.- € for such a service. As charge for doctor’s loss of income due to the missed appointment a payment between 10.- € and 20.- € was judged to be appropriate. Two groups of "persons of risk" have been identified: 1. non-working people and 2. patients with poor memory. Both groups valued reminders for the appointment positively.
    VL  - 2
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Author Information
  • Practice for Neurology and Psychiatry, Luebecker Str. 20, D-23611 Bad Schwartau, Germany

  • Medical School Hamburg, University of Applied Science, Am Kaiserkai 1, D-20457 Hamburg, Germany

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