일개 대학병원 외래환자의 예약부도(No-Show) 관련요인

Abstract

Objective: This study examines factors associated with no-show in an academic medical center in Korea.

Methods: Electronic data regarding medical appointment during one academic year (2013.03~2014.02) were derived from a major academic medical center in Seoul. Medical appointment was divided into two groups (i.e., consultation vs. test, treatment, and surgery). Comparisons between patients who did show up and those who failed to show up (no-show) were made. A multiple logistic regression was run to estimate factors that are significantly associated with no-show.

Results: The results show that overall no-show rate was 5.0%, but the rate of the appointment for test, treatment, and surgery (8.0%) is higher than that of consultation (4.7%). In general, patients aged less than 18 and carrying Medical Aid had higher odds of no-show. Afternoon appointments and Saturday appointments also had higher odds of no-show. In addition, those who had appointments with the Department of Ophthalmology and Department of Otolaryngology and those who made appointments with instructors or residents had higher odds of no-show. Also, slightly different results were found for the two different groups of medical appointment.

Conclusion: The results of this study can be used for setting priority for no-show management based on identifying significant no-show predictors. It is important for hospitals to develop more tailored no-show management approaches for consultation, test, treatment, and surgery, respectively, given that the results are somewhat different by the medical appointment type. In addition, it is recommended that future research incorporate qualitative information about the reasons of no-show.