Prevalence and predictors of patient no-shows to outpatient endoscopic procedures scheduled with anesthesia

BMC Gastroenterology

Research Article

Justin L. Sewell¹  Lukejohn W. Day¹  Jennifer T. Chang² 

[1] Division of Gastroenterology, Department of Medicine, San Francisco General Hospital and Trauma Center, San Francisco, CA, USA;Division of Gastroenterology, Department of Medicine, University of California, San Francisco, CA, USA;

关键词: Endoscopy;    Health outcomes;    Quality;    Health disparities;   

DOI  :  10.1186/s12876-015-0358-3

 received in 2015-02-15, accepted in 2015-09-25,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundDemand for endoscopic procedures scheduled with anesthesia is increasing and no-show to appointments carries significant patient health and financial impact, yet little is known about predictors of no-show.MethodsWe performed a 16-month retrospective observational cohort study of patients scheduled for outpatient endoscopy with anesthesia at a county hospital serving the safety-net healthcare system of San Francisco. Multivariate logistic regression analysis was performed to evaluate associations between attendance and predictors of no-show.ResultsIn total, 511 patients underwent endoscopy with anesthesia during the study period. Twenty-seven percent of patients failed to attend an appointment and were considered “no-show”. In multivariate analysis, higher no-show rates were associated with patients with a prior history of no-show (odds ratio [OR] 6.4; 95 % confidence interval [CI], 2.4- 17.5), those with active substance abuse within the past year (OR 2.2; 95 % CI 1.4-3.6), those with heavy prescription opioids/benzodiazepines use (OR 1.6; 95 % CI 1.0-2.6) and longer wait-times (OR 1.05; 95 % CI 1.00-1.09). Inversely associated with patient no-show were active employment (OR 0.38; 95 % CI 0.18-0.81), patients who attended a pre-operative appointment with an anesthesiologist (OR 0.52; CI 0.32-0.85), and those undergoing an advanced endoscopic procedure (OR 0.43; 95 % CI 0.19-0.94).ConclusionIn a safety-net healthcare population, behavioral and social determinants of health, including missed appointments, active substance abuse, homelessness, and unemployment are associated with no-shows to endoscopy with anesthesia.

【 授权许可】

CC BY   
© Chang et al. 2015