Affiliation:
1. Department of Health Information Technology Varastegan Institute for Medical Sciences Mashhad Iran
2. Department of Medical Informatics, Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran
3. Students Research Committee Mashhad University of Medical Sciences Mashhad Iran
4. Department of Medical Informatics Academic Medical Center, University of Amsterdam Amsterdam the Netherlands
5. Department of Health Information Management, School of Health Management and Information Sciences Shiraz University of Medical Sciences Shiraz Iran
6. Student Research Committee Shiraz University of Medical Sciences Shiraz Iran
7. Pharmaceutical Research Center Mashhad University of Medical Sciences Mashhad Iran
Abstract
AbstractBackgroundPatients' missed appointments can cause interference in the functions of the clinics and the visit of other patients. One of the most effective strategies to solve the problem of no‐show rate is the use of an open access scheduling system (OA). This systematic review was conducted with the aim of investigating the impact of OA on the rate of no‐show of patients in outpatient clinics.MethodsRelevant articles in English were investigated based on the keywords in title and abstract using PubMed, Scopus, and Web of Science databases and Google Scholar search engine (July 23, 2023). The articles using OA and reporting the no‐show rate were included. Exclusion criteria were as follows: (1) review articles, opinion, and letters, (2) inpatient scheduling system articles, and (3) modeling or simulating OA articles. Data were extracted from the selected articles about such issues as study design, outcome measures, interventions, results, and quality score.FindingsFrom a total of 23,403 studies, 16 articles were selected. The specialized fields included family medicine (62.5%, 10), pediatrics (25%, four), ophthalmology, podiatric, geriatrics, internal medicine, and primary care (6.25%, one). Of 16 articles, 10 papers (62.5%) showed a significant decrease in the no‐show rate. In four articles (25%), the no‐show rate was not significantly reduced. In two papers (12.5%), there were no significant changes.ConclusionsAccording to this study results, it seems that in most outpatient clinics, the use of OA by considering some conditions such as conducting needs assessment and system design based on the patients' and providers' actual needs, and cooperating of all system stakeholders through consistent training caused a significant decrease in the no‐show rate.
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