Interventions to increase appointment attendance in safety net health centers: A systematic review and meta‐analysis
| العنوان: | Interventions to increase appointment attendance in safety net health centers: A systematic review and meta‐analysis |
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| المؤلفون: | Mari-Lynn Drainoni, Dea L. Biancarelli, Erika L. Crable, Marisa N Aurora, Allan J. Walkey |
| المصدر: | Journal of Evaluation in Clinical Practice. 27:965-975 |
| بيانات النشر: | Wiley, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Text Messaging, medicine.medical_specialty, business.industry, Reminder Systems, 030503 health policy & services, Health Policy, Safety net, Public Health, Environmental and Occupational Health, Psychological intervention, Attendance, Appointments and Schedules, 03 medical and health sciences, Data extraction, Intervention (counseling), Meta-analysis, Relative risk, Family medicine, Humans, Medicine, 0305 other medical science, business, Medicaid |
| الوصف: | Rationale, aims and objectives Missed appointments are a persistent problem across healthcare settings, and result in negative outcomes for providers and patients. We aimed to review and evaluate the effectiveness of interventions designed to reduce missed appointments in safety net settings. Methods We conducted a systematic review of interventions reported in three electronic databases. Data extraction and quality assessment were conducted according to PRISMA guidelines. Eligible studies were analyzed qualitatively to describe intervention types. A random effects model was used to measure the pooled relative risk of appointment adherence across interventions in the meta-analysis. Results Thirty-four studies met inclusion criteria for the qualitative synthesis, and 21 studies reported sufficient outcome data for inclusion in the meta-analysis. Qualitative analysis classified nine types of interventions used to increase attendance; however, application of each intervention type varied widely between studies. Across all study types (N = 12 000), RR was 1.08, (95% CI 1.03, 1.13) for any intervention used to increase appointment attendance. No single intervention was clearly effective: facilitated appointment scheduling [RR = 3.31 (95% CI: 0.30, 37.13)], financial incentives [RR = 1.88 (0.73, 4.82)] case management/patient navigator [RR = 1.09, (0.96, 1.24)], text messages [RR = 1.02 (0.96, 1.08)], transportation, [RR = 1.05 (0.98, 1.13)], telephone reminder calls [RR 1.12, (0.87, 1.45)], in-person referrals, [RR = 1.01 (0.90, 1.13)], patient contracts [RR = 0.87 (0.52, 1.46)] or combined strategies, [RR = 1.16 (1.03, 1.32)]. No strategy was clearly superior to others, p interaction = .50. Conclusions Strategies to improve appointment adherence in safety net hospitals varied widely and were only modestly effective. Further research harmonizing intervention delivery within each strategy and comparing strategies with the most potential for success is needed. |
| تدمد: | 1365-2753 1356-1294 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::384ea65c484c669bac3067d26c892e21 https://doi.org/10.1111/jep.13496 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....384ea65c484c669bac3067d26c892e21 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652753 13561294 |
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