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Comprehensive Analysis to Uncover Determinants of Patient Appointment Compliance in Ophthalmology at the Kresge Eye Institute, USA

Authors Khambati A, Dowell L, Tajran J, Juzych D, Syeda S, Wilson MR, Juzych MS, Kumar A

Received 15 October 2020

Accepted for publication 21 January 2021

Published 11 March 2021 Volume 2021:15 Pages 589—600

DOI https://doi.org/10.2147/PPA.S286486

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Johnny Chen


Alisha Khambati,1 Lauren Dowell,1 Jahan Tajran,1 Daniel Juzych,2 Sarah Syeda,2 M Roy Wilson,2 Mark S Juzych,2 Ashok Kumar2

1School of Medicine, Wayne State University, Detroit, MI, 48201, USA; 2Department of Ophthalmology, Visual and Anatomical Sciences, Wayne State University School of Medicine, Detroit, MI, 48201, USA

Correspondence: Mark S Juzych; Ashok Kumar
Department of Ophthalmology, Visual and Anatomical Sciences, Wayne State University School of Medicine, 4717 St. Antoine, Detroit, MI, 48201, USA
Tel +1 313 577-6213
Fax +1 313 577-7781
Email [email protected]; [email protected]

Introduction: Appointment compliance (AC) has a significant impact on patient care; however, determinants of AC in Ophthalmology and its subspecialties remains elusive.
Methods: We performed a five-year retrospective analysis across Kresge Eye Institute (KEI) and its affiliated Michigan locations. A total of 597,364 appointments across > 13 subspecialties were included. AC was the primary outcome of interest. Compliant (CO) and non-compliant (NC) groups were compared to the following variables: patient characteristics (gender, race, age, insurance), appointment rank (relative to patient history), scheduling location, month, and ophthalmic specialty, in regard to arrival and no-show.
Results: Among all appointments, 59.77% were associated with a female patient and 79.16% of the total number of appointments depicted patient compliance. AC differed concerning specialty, with retina representing the highest compliance across all appointments. Among 200+ insurance providers, Medicare was most frequently used and represented the highest share of CO appointments. African Americans were the primary ethnicity served by KEI and had the highest number of NC appointments.
Conclusion: Our study demonstrates the impact of patient demographics, appointment characteristics, and ophthalmic subspecialty on AC. A better understanding of these determinants could allow for an increased CO for Ophthalmology practices.

Keywords: retrospective, demographics, ophthalmology, appointment compliance

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