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首页> 外文期刊>Urology practice. >Increased Time between Scheduling Date and Appointment Date Results in Increased No-Show Rates in the Academic Urology Practice
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Increased Time between Scheduling Date and Appointment Date Results in Increased No-Show Rates in the Academic Urology Practice

机译：调度日期和预约日期之间的时间增加，导致学术泌尿外科实践中的不显示率增加

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Introduction: No-show appointments can weigh heavily on a urology practice's finances and productivity. Our objective was to investigate if a relationship existed between lag time and no-show appointments at the Columbia University Medical Center department of urology.Methods: We queried adult new patient appointments from July 2017 to July 2018 and excluded rescheduled or cancelled visits. We organized appointments by subspecialty training/practice of the urologist (general urology, voiding dysfunction/female urology, male sexual dysfunction/infertility, urological oncology, endourology and reconstructive urology). We performed logistic regression analysis to determine the relationship between lag time and no-show rate. We did the same for age and gender. We also organized lag time into 4 categories (less than 3 days, 3 to 7 days, 8 to 14 days, more than 14 days) and performed a goodness of fit test for no-show rates.Results: A total of 6,060 new patient appointments were scheduled from July 2017 to July 2018. The no-show rate was 14.3% (865 patients). Each daily increase in lag time resulted in a 2% rise in the odds of no-shows for the overall practice (OR 1.02). There were similar results for sexual dysfunction (OR 1.03), general urology (OR 1.02), oncology (OR 1.02) and voiding dysfunction (OR 1.01). There was a positive correlation with increasing lag time category and no-show rates for all subspecialties (R2 >0.80) except reconstructive urology (R2=0.68). Each increase in age resulted in a 2% rise in the odds of no-shows (OR 0.98).Conclusions: Lag time for new patient visits is highly correlated with no-show rates, with a 2% rise in the odds of a no-show with each daily increase in lag time. Increasing age also demonstrated a correlation with no-show rates. Practice interventions to reduce lag time will hopefully reduce no-show rates.
机译：导言：没有预约会严重影响泌尿外科的财务和生产力。我们的目标是调查哥伦比亚大学医学中心泌尿系的延迟时间和预约时间之间是否存在关系。方法：我们询问了2017年7月至2018年7月的成年新患者预约情况，排除了重新安排或取消的就诊。我们按照泌尿科医师的子专业培训/实践（普通泌尿科、排尿功能障碍/女性泌尿科、男性性功能障碍/不孕症、泌尿肿瘤、腔内泌尿科和重建泌尿科）安排预约。我们进行了逻辑回归分析，以确定滞后时间和未显示率之间的关系。对于年龄和性别，我们也做了同样的事情。我们还将滞后时间分为4类（少于3天、3到7天、8到14天、超过14天），并对未显示率进行拟合优度测试。结果：2017年7月至2018年7月，共安排了6060例新患者预约。未显示率为14.3%（865例）。滞后时间的每一天增加都会导致整个练习中没有表演的几率增加2%（或1.02）。性功能障碍（OR 1.03）、普通泌尿科（OR 1.02）、肿瘤科（OR 1.02）和排尿功能障碍（OR 1.01）的结果相似。除再造泌尿科（R2=0.68）外，所有子专业（R2>0.80）的延迟时间类别和无显示率均与增加呈正相关。年龄的每一次增长都会导致缺席的几率增加2%（或0.98）。结论：新患者就诊的延迟时间与未就诊率高度相关，延迟时间每增加一天，未就诊的几率增加2%。年龄的增长也证明了与未露面率的相关性。减少延迟时间的实践干预有望降低缺勤率。

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