Predictors of nonattendance at the first newborn health supervision visit.
*Infant; *Pediatrics; *Primary Prevention; *Treatment Refusal; 100 to 299; Adolescent; Adult; Female; Hospital Bed Capacity; Hospital/*statistics & numerical data; Humans; Mothers/psychology; Newborn; Ohio; Outpatient Clinics; Physical Examination; Risk Factors; Socioeconomic Factors
Failure to attend the first newborn health supervision visit is an important problem for the Continuity Care Clinic of Children's Hospital Medical Center of Akron, Ohio. The goal of this study was to use objective data from the neonatal record to identify newborns at high risk of failure to attend. Clinical and social risk factors of the mother and newborn were abstracted from the neonatal progress notes of 319 infants. The relative risk (RR) of nonattendance was calculated for each factor, and rules for predicting failure to attend were evaluated. The best predictors were multiparous mother (RR = 2.4, P = .01), no telephone in home (RR = 2.6, P = .002), and unmarried teenage mother (RR = 5.8, P = .05). Newborns who had a medical problem and had a adult mother were more likely to attend (RR = 0.4, P = .02). These risk factors were easily identifiable from the medical record at birth. Because interventions may be labor-intensive, it is important to target the families at the highest risk.
Specht E M; Bourguet C C
Clinical pediatrics
1994
1994-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/000992289403300504" target="_blank" rel="noreferrer noopener">10.1177/000992289403300504</a>
Factors affecting missed appointment rates for pediatric patients insured by medicaid in a traditional hospital-based resident clinic and hospital-owned practice settings.
*Appointments and Schedules; *Medicaid; *Pediatrics; Chi-Square Distribution; Continuity of Patient Care; Hospitals; Humans; Office Visits/*statistics & numerical data; Pediatric/*statistics & numerical data; United States
Missed appointment rates (MAR) of pediatric patients insured by Medicaid and seen in a traditional hospital-based continuity (teaching) clinic were compared to the rates for the same patients after their care had been transitioned to a community practice. The hypothesis is that when rewarded with shorter waiting times, a less chaotic environment, and more pediatrician continuity, the MAR for patients insured by Medicaid would be lower in the practice setting than it had been in continuity clinic. The MAR decreased from 33% in the continuity clinic in 1999 to 18% in the community practice in 2001 (p\textless0.01). It was also hypothesized that the MAR for patients insured by Medicaid would be higher in practices with a higher percentage of Medicaid appointments. Among 15 hospital-owned pediatric practices, the MAR for patients insured by Medicaid was positively correlated with the percentage of total appointments that were made by patients insured by Medicaid (correlation coefficient 0.706 [p\textless0.01]).
Specht Elizabeth M; Powell Keith R; Dormo Cynthia A
Clinical pediatrics
2004
2004-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1177/000992280404300810" target="_blank" rel="noreferrer noopener">10.1177/000992280404300810</a>