This work may not be copied, distributed, displayed, published, reproduced, transmitted, modified, posted, sold, licensed, or used for commercial purposes. By downloading this file, you are agreeing to the publisher’s Terms & Conditions.

CME Activity

How Do Clinicians Respond to Patients Who Miss Appointments?

Jordan W. Smoller, Renee Y. S. McLean, Michael W. Otto, and Mark H. Pollack

Published: June 15, 1998

This CME activity is expired. For more CME activities, visit CMEInstitute.com.
Find more articles on this and other psychiatry and CNS topics:
The Journal of Clinical Psychiatry
The Primary Care Companion for CNS Disorders


Article Abstract

Background: Although patients miss up to 60% ofscheduled outpatient appointments, little is known about howclinicians respond to “no-shows.” In an effort todetermine how clinicians customarily handle missed appointments,we surveyed mental health clinicians and internists at 2 academichospitals: a private psychiatric hospital and an urban generalhospital.

Method: An anonymous questionnaire survey wasmailed to psychiatrists, psychologists, and social workers atboth hospitals and to internists at the general hospital.Clinicians were surveyed about their usual response topsychotherapy, psychopharmacology, and internal medicine patientswho miss appointments.

Results: Among the 356 responses (39.5%) to 902mailed questionnaires, there was substantial variability inclinicians’ reported handling of “no-show” patients,although psychiatrists tended to be initially less active inpursuing patients than were nonphysician therapists andinternists. A number of clinical variables were associated withclinicians’ responses including the perceived risk of a badoutcome, hospital site, support staff availability, and billingpractices.

Conclusion: The results suggest that clinicians’responses to missed appointments are determined by a complexmixture of influences rather than adherence to a readilydefinable “standard of care.”

Volume: 59

Quick Links: Assessment Methods , Health Services

Continue Reading…

Subscribe to read the entire article

$40.00

Buy this Article as a PDF

References

Sign-up to stay
up-to-date today!

SUBSCRIBE

Already registered? Sign In

Case Report

Safety and Tolerability of Concomitant Intranasal Esketamine Treatment With Irreversible, Nonselective MAOIs: A Case Series

Three cases suggest that concomitant use of intranasal esketamine with an irreversible, nonselective MAOI is safe in...

Read More...