ArticleJournal of general internal medicine2022
Neighborhood Effects on Missed Appointments in a Large Urban Academic Multispecialty Practice.
Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Neighborhood Factors and Treatment Outcomes in Pediatric Acute Lymphoblastic Leukemia: A REDIAL Consortium Report.Cancer research communications · 2026Article
- Differential associations between social determinants of health and the initiation of medications for opioid use disorder across care settings.npj health systems · 2026Article
- Behavioral and Engagement Predictors of Arthroplasty Clinic No-Shows: A Calibrated Machine Learning Analysis.Arthroplasty today · 2026Article
- The Influence of Structural Factors and Telemedicine on Missed Appointments Among Medicaid-Insured Patients.Journal of racial and ethnic health disparities · 2026Article
- Impact of neighborhood archetypes on overall mortality among young patients with acute leukemia in California.Cancer · 2025Article
- Neighborhood disadvantage and pain-related experiences in a pain psychology clinic: The mediating roles of pain catastrophizing and pain-related fear.The journal of pain · 2025Article
- Predictive Optimization of Patient No-Show Management in Primary Healthcare Using Machine Learning.Journal of medical systems · 2025Article
- Transitioning from the Emergency Department to a General Internist Outpatient Clinic for Paracentesis: A Qualitative Inquiry.Digestive diseases and sciences · 2024Article
- Personal, health system, and geosocial disparities in appointment nonadherence at family medicine clinics in southcentral Pennsylvania, United States.Journal of general and family medicine · 2024Article
- Spatial Vision Inequalities: A Literature Review of the Impact of Place on Vision and Eye Health Outcomes.Translational vision science & technology · 2024Review
- Transitioning from the Emergency Department to a General Internist Outpatient Clinic for Paracentesis: A Qualitative.Research square · 2023Article
- Patient characteristics and neighborhood attributes associated with hepatitis C screening and positivity in Philadelphia.Preventive medicine reports · 2022Article
- Your neighborhood matters: A machine-learning approach to the geospatial and social determinants of health in 9-1-1 activated chest pain.Research in nursing & health · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMissed appointments diminish the continuity and quality of care.
objectiveTo determine whether missing scheduled appointments is associated with characteristics of the populations in places where patients reside.
designRetrospective cross-sectional study using data extracted from electronic health records linked to population descriptors for each patient's census tract of residence. PATIENTS: A total of 58,981 patients ≥18 years of age with 275,682 scheduled appointments during 2014-2015 at a multispecialty outpatient practice. MAIN MEASURES: We used multinomial generalized linear mixed models to examine associations between the outcomes of scheduled appointments (arrived, canceled, or missed) and selected characteristics of the populations in patients' census tracts of residence (racial/ethnic segregation based on population composition, levels of poverty, violent crime, and perceived safety and social capital), controlling for patients' age, gender, type of insurance, and type of clinic service. KEY
resultsOverall, 17.5% of appointments were missed. For appointments among patients residing in census tracts in the highest versus lowest quartile for each population metric, adjusted odds ratios (aORs) for missed appointments were 1.27 (CI 1.19, 1.35) for the rate of violent crime, 1.27 (CI 1.20, 1.34) for the proportion Hispanic, 1.19 (CI 1.12, 1.27) for the proportion living in poverty, 1.13 (CI 1.05, 1.20) for the proportion of the census tract population that was Black, and 1.06 (CI 1.01, 1.11 for perceived neighborhood safety.
conclusionsCharacteristics of the places where patients reside are associated with missing scheduled appointments, including high levels of racial/ethnic segregation, poverty, and violent crime and low levels of perceived neighborhood safety. As such, targeting efforts to improve access for patients living in such neighborhoods will be particularly important to address underlying social determinants of access to health care.
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