Evidence map›Paper›PMID 41742066›Full record

ArticleBMC primary care2026

Sociodemographic determinants of appointment no-show in primary care: a cross-sectional study in Renca Commune, Chile (2022-2023).

Pablo Escobar-San Martín, Nataly Droguett Droguett, Vezna Sabando Franulic

Abstract read
In one paragraph

Article in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Pablo Escobar-San MartínPublic Health School, Faculty of Medicine and Health Sciences, Universidad Mayor, Santiago, Chile.
Nataly Droguett DroguettPublic Health School, Center for Health Data Observation and Analysis, Faculty of Medicine and Health Sciences, Universidad Mayor, Santiago, Chile.ORCID 0000-0003-1675-1979
Vezna Sabando FranulicPublic Health School, Center for Health Data Observation and Analysis, Faculty of Medicine and Health Sciences, Universidad Mayor, Santiago, Chile. vezna.sabando@uantof.cl.ORCID 0000-0003-0564-6997

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNonattendance in primary health care (PHC) is an increasing challenge for health system management, as it leads to wasted resources, greater workloads for healthcare teams, and interruptions in the continuity of care. While most studies have examined this phenomenon in the context of medical specialties, evidence from PHC settings remains scarce. This study aimed to analyze the associations between the sociodemographic and administrative characteristics of appointments at PHC centers within a large urban commune in Santiago, Chile.

methodsA cross-sectional study was conducted using secondary data from the Rayen Salud® electronic health record system, which consolidates clinical and administrative records from the Electronic Health Records. Appointments scheduled between 2022 and 2023 were extracted, with one appointment per person randomly selected. Appointments with a status of scheduled, canceled, pending, or in progress were excluded, as were overbookings, procedures, minor surgeries, and specialty consultations. The dependent variable was appointment status (completed or not shown). Descriptive statistics and multivariate regression models were used to estimate prevalence ratios (PRs) with 95% confidence intervals (95% CIs).

resultsOverall, 21.8% of the appointments were not attended. Nonattendance was more common among adults aged 18–64 years (PR: 1.04; 95% CI: 1.01–1.09), patients affiliated with the public insurance system, and those scheduled via telephone or online platforms (PR: 1.41; 95% CI: 1.35–1.47). A higher prevalence was also observed on Saturdays (PR: 1.46; 95% CI: 1.33–1.59), after 17:00 h (PR: 1.20; 95% CI: 1.13–1.26), and in September (PR: 1.09; 95% CI: 1.00–1.19). With respect to professional health, general practitioners presented the lowest prevalence (PR: 0.46; 95% CI: 0.42–0.50), whereas nutritionists, dentists, and psychologists presented higher prevalence (PRs 1.32–1.82). Older adults (≥ 65 years) were more likely to attend (PR: 0.68; 95% CI: 0.64–0.71).

conclusionsNo show in PHC represents a major challenge for care delivery. Targeted reminder strategies, particularly for high-risk groups, nonmedical providers, and extended-hour appointments, are essential for improving attendance and strengthening PHC performance.

Indexed as

Appointments and SchedulesNo-Show PatientsPrimary Health CareAccess to Primary CareAdolescentAdultAgedChileCross-Sectional StudiesFemaleHumansMaleMiddle AgedSociodemographic FactorsYoung AdultAppointmentNonattendanceNo showPrimary care

Identifiers

PMID41742066
PMCPMC13040846

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.