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Cynthia T. Rust, MD; Nancy H. Gallups, MD; W. Scott Clark, PhD; Donna S. Jones, MD; Wallace D. Wilcox, MD

Arch Pediatr Adolesc Med. 1995;149(6):693-695.

Abstract
Objectives
To determine appointment failure rates in pediatric resident continuity clinics nationally, and to identify characteristics of clinics with respect to factors that may affect appointment failure rates.

Design
A one-page questionnaire administered via facsimile machine to pediatric residencies' continuity clinic directors.

Results
Of 200 continuity clinic directors, 160 (80%) returned the survey. The mean no-show percentage was 30.9%, with a range of 3% to 80%. Among the factors studied, only mode of payment emerged as an independent predictor.

Conclusions
Appointment failure is a substantial problem in pediatric resident continuity clinics, which needs attention if resident learning, patient care, and clinic efficiency are to be optimized.

(Arch Pediatr Adolesc Med. 1995;149:693-695)

Author Affiliations
From the Department of Pediatrics (Drs Rust, Gallups, Jones, and Wilcox) and Division of Biostatistics (Dr Clark), Emory University Schools of Medicine and Public Health, Atlanta, Ga.

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