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Research ArticleOriginal Research

Why We Don’t Come: Patient Perceptions on No-Shows

Naomi L. Lacy, Audrey Paulman, Matthew D. Reuter and Bruce Lovejoy
The Annals of Family Medicine November 2004, 2 (6) 541-545; DOI: https://doi.org/10.1370/afm.123
Naomi L. Lacy
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Audrey Paulman
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Matthew D. Reuter
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Bruce Lovejoy
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    Table 1.

    Interview Questions

    I’m researching why a lot of people make doctor appointments but do not show up. Why do you think people do this?
    Tell me about a time you or someone you know had an appointment but didn’t or couldn’t come.
    What made it hard to keep the appointment with the doctor? [Or] Is there anything that makes it hard for you to keep an appointment?
    Do you have to make any special arrangements to get here? (Transportation, child care, insurance company referrals, work, other)
    How difficult is it for you to be on time for your appointment?
    How do you know when you or someone in your family needs to see the doctor?
    How did you decide to choose this clinic?
    What do you come here (the clinic) for?
    How do you feel about having to see the doctor (eg, worried, anxious, hopeful, etc)? Why?

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    In some clinics, as many as 45% of patients fail to keep their scheduled appointments. Interviews with patients revealed 3 reasons why they are "no-shows": (1) Some patients are afraid and anxious about the cause of their symptoms, the procedures they might have to undergo, and the bad news that they might receive. (2) Some patients may feel disrespected by the health care system. This includes a sense that health care staff do not respect them, and do not value their time, opinions, and feelings. (3) Some patients do not understand the scheduling system. They may not be aware of the financial impact of missing an appointment and may think that a no-show helps a busy clinic. Medical practices might decrease the number of no-shows by reviewing the amount of time that patients have to wait, helping patients address their medical fears, and considering patients' feelings about personal respect.

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The Annals of Family Medicine: 2 (6)
The Annals of Family Medicine: 2 (6)
Vol. 2, Issue 6
1 Nov 2004
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Why We Don’t Come: Patient Perceptions on No-Shows
Naomi L. Lacy, Audrey Paulman, Matthew D. Reuter, Bruce Lovejoy
The Annals of Family Medicine Nov 2004, 2 (6) 541-545; DOI: 10.1370/afm.123

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Why We Don’t Come: Patient Perceptions on No-Shows
Naomi L. Lacy, Audrey Paulman, Matthew D. Reuter, Bruce Lovejoy
The Annals of Family Medicine Nov 2004, 2 (6) 541-545; DOI: 10.1370/afm.123
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