Strategies Used by Exemplary Practices to Reduce No-Shows Rates (n = 11)
Method | Practices Using Method No. (%) |
---|---|
*Open access defined as no appointments made beyond 1 week ahead; complete open access defined as no advance appointments; partial open access defined as some advance appointments. | |
Patient education | 10 (91) |
On enrollment in practice | 7 (64) |
When each appointment is made | 6 (55) |
When reminded of appointment | 4 (36) |
After each no-show | 7 (64) |
After repeated no-shows | 5 (45) |
No. of education strategies, median (range) | 3 (0–5) |
Patient reminders | 9 (82) |
Telephone call to all patients | 9 (82) |
Telephone call to high-risk patients | 2 (18) |
Letter/card to all patients | 1 (9) |
Letter/card to high-risk patients | 1 (9) |
No. of reminder strategies, median (range) | 1 (0–3) |
Patient sanctions | 9 (82) |
Expelled from practice | 9 (82) |
Required to walk-in (no appointments) | 1 (9) |
Open access* | 9 (82) |
Complete | 3 (27) |
Partial (lots of work-in slots) | 6 (55) |
Continuity emphasis | |
Residents work in small teams | 7 (64) |
Scheduling rules | |
Residents cannot schedule appointments | 6 (55) |
Work with individual residents | |
Try to determine cause for no-shows | 2(25) |