Abstract
Many of the traditional approaches to the problem of appointment-keeping behavior have ignored the organizational factors that may be implicated in differentially high broken appointment rates leading to an implicit assumption that low-income and ethnic minority patients will be more likely to break appointments. A case study at a Model Cities Health Center which maintains a kept appointment rate of 85 per cent examined the relationship of broken appointments to age, sex, ethnic background, and payment mechanisms. The results suggest alternative explanations for differentially high broken appointments centering on the role of the institution in reinforcing appointment-keeping behavior.
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Selected References
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- ADLER L. M., YAMAMOTO J., GOIN M. FAILED PSYCHIATRIC CLINIC APPOINTMENTS. RELATIONSHIP TO SOCIAL CLASS. Calif Med. 1963 Dec;99:388–392. [PMC free article] [PubMed] [Google Scholar]
- ALPERT J. J. BROKEN APPOINTMENTS. Pediatrics. 1964 Jul;34:127–132. [PubMed] [Google Scholar]
- BADGLEY R. F., FURNAL M. A. Appointment breaking in a pediatric clinic. Yale J Biol Med. 1961 Oct;34:117–123. [PMC free article] [PubMed] [Google Scholar]
- Becker M. H., Drachman R. H., Kirscht J. P. Motivations as predictors of health behavior. Health Serv Rep. 1972 Nov;87(9):852–862. [PMC free article] [PubMed] [Google Scholar]
- Curry F. J. Neighborhood clinica for more effective outpatient treatment of tuberculosis. N Engl J Med. 1968 Dec 5;279(23):1262–1267. doi: 10.1056/NEJM196812052792305. [DOI] [PubMed] [Google Scholar]
- Hurtado A. V., Greenlick M. R., Colombo T. J. Determinants of medical care utilization. Failure to keep appointments. Med Care. 1973 May-Jun;11(6):189–198. doi: 10.1097/00005650-197305000-00002. [DOI] [PubMed] [Google Scholar]
- Jonas S. Appointment-breaking in a general medical clinic. Med Care. 1971 Jan-Feb;9(1):82–88. doi: 10.1097/00005650-197101000-00009. [DOI] [PubMed] [Google Scholar]
- Jonas S. Influence of the weather on appointment-breaking in a general medical clinic. Med Care. 1973 Jan-Feb;11(1):72–74. doi: 10.1097/00005650-197301000-00009. [DOI] [PubMed] [Google Scholar]
- Motil K. J. Broken appointments in the pediatric outpatient department--the Western Pennsylvania Hospital, July 1--July 31, 1970. Woman Physician. 1971 May;26(5):244–250. [PubMed] [Google Scholar]
- Nazarian L. F., Mechaber J., Charney E., Coulter M. P. Effect of a mailed appointment reminder on appointment keeping. Pediatrics. 1974 Mar;53(3):349–352. [PubMed] [Google Scholar]