Missed screening mammography appointments : patient sociodemographic characteristics and mammography completion after one year
Copyright © 2024. Published by Elsevier Inc..
OBJECTIVE: Patients who miss screening mammogram (SM) appointments without notifying the healthcare system (no-show) risk care delays. We investigate sociodemographic characteristics of patients who experience SM no-shows at a community health center and whether and when the missed exams are completed.
METHODS: We included patients with SM appointments at a community health center between 1/1/2021-12/31/2021. Language, race, ethnicity, insurance type, residential ZIP code tabulation area (ZCTA) poverty, appointment outcome (no-show, same-day cancellation, completed), and dates of completed SMs after no-show appointments with ≥ 1-year follow-up were collected. Multivariable analyses were used to assess associations between patient characteristics and appointment outcomes.
RESULTS: Of 6,159 patients, 12.1% (743/6,159) experienced no-shows. The no-show group differed from the completed group by language, race and ethnicity, insurance type, and poverty level (all P<.05). Patients with no-shows more often had: primary language other than English (32% [238/743] versus 26.7% [1,265/4,741]), race and ethnicity other than White non-Hispanic (42.3% [314/743] versus 33.6% [1,595/4,742]), Medicaid/means-tested insurance (62.0% [461/743] versus 34.4% [1,629/4,742]), and higher poverty ZCTAs (19.5% [145/743] versus 14.1% [670/4,742]). Independent predictors of no-shows were: Black/non-Hispanic race and ethnicity (aOR, 1.52; 95% CI, 1.12-2.07; P=.007), Medicaid/means-tested insurance (aOR, 2.75; 95% CI, 2.29-3.30; P<.001), and higher poverty ZCTAs (aOR, 1.76; 95% CI, 1.14-2.72; P=.011). At one-year follow-up, 40.7% (302/743) of patients with no-shows had not completed SM.
DISCUSSION: SM no-shows is a health equity issue where socioeconomically disadvantaged and racial and ethnic minority patients are more likely to experience missed appointments and continued delays in SM completion.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Journal of the American College of Radiology : JACR - (2024) vom: 08. Apr. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Wang, Gary X [VerfasserIn] |
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| Links: |
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| Themen: |
Appointment no-shows |
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| Anmerkungen: |
Date Revised 10.04.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1016/j.jacr.2024.03.017 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM370886798 |
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| 100 | 1 | |a Wang, Gary X |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Missed screening mammography appointments |b patient sociodemographic characteristics and mammography completion after one year |
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| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2024. Published by Elsevier Inc. | ||
| 520 | |a OBJECTIVE: Patients who miss screening mammogram (SM) appointments without notifying the healthcare system (no-show) risk care delays. We investigate sociodemographic characteristics of patients who experience SM no-shows at a community health center and whether and when the missed exams are completed | ||
| 520 | |a METHODS: We included patients with SM appointments at a community health center between 1/1/2021-12/31/2021. Language, race, ethnicity, insurance type, residential ZIP code tabulation area (ZCTA) poverty, appointment outcome (no-show, same-day cancellation, completed), and dates of completed SMs after no-show appointments with ≥ 1-year follow-up were collected. Multivariable analyses were used to assess associations between patient characteristics and appointment outcomes | ||
| 520 | |a RESULTS: Of 6,159 patients, 12.1% (743/6,159) experienced no-shows. The no-show group differed from the completed group by language, race and ethnicity, insurance type, and poverty level (all P<.05). Patients with no-shows more often had: primary language other than English (32% [238/743] versus 26.7% [1,265/4,741]), race and ethnicity other than White non-Hispanic (42.3% [314/743] versus 33.6% [1,595/4,742]), Medicaid/means-tested insurance (62.0% [461/743] versus 34.4% [1,629/4,742]), and higher poverty ZCTAs (19.5% [145/743] versus 14.1% [670/4,742]). Independent predictors of no-shows were: Black/non-Hispanic race and ethnicity (aOR, 1.52; 95% CI, 1.12-2.07; P=.007), Medicaid/means-tested insurance (aOR, 2.75; 95% CI, 2.29-3.30; P<.001), and higher poverty ZCTAs (aOR, 1.76; 95% CI, 1.14-2.72; P=.011). At one-year follow-up, 40.7% (302/743) of patients with no-shows had not completed SM | ||
| 520 | |a DISCUSSION: SM no-shows is a health equity issue where socioeconomically disadvantaged and racial and ethnic minority patients are more likely to experience missed appointments and continued delays in SM completion | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Screening mammography | |
| 650 | 4 | |a appointment no-shows | |
| 650 | 4 | |a healthcare disparities | |
| 650 | 4 | |a missed appointments | |
| 700 | 1 | |a Mercaldo, Sarah F |e verfasserin |4 aut | |
| 700 | 1 | |a Cahill, Jennifer E |e verfasserin |4 aut | |
| 700 | 1 | |a Flanagan, Jane M |e verfasserin |4 aut | |
| 700 | 1 | |a Lehman, Constance D |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Elyse R |e verfasserin |4 aut | |
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