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Clin Pediatr (Phila). 2017 Jun;56(7):634-639. doi: 10.1177/0009922816672450. Epub 2016 Oct 5.

Patient- and Visit-Level Variables Associated With Late Arrival to Pediatric Clinic Appointments.

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1 University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.


We conducted a cross-sectional study to evaluate timeliness of patient arrival at a pediatric multispecialty clinic. Bivariate and ordered logistic regression analyses were conducted to determine the odds of late arrival by specified patient- and visit-level characteristics. A total of 64‚ÄČ856 visits were available for analysis, of which 6513 (10.0%) were late arrivals. The odds of late arrival were higher for patients who spoke English (odds ratio [OR] = 1.34, P < .001) compared with those who spoke Spanish, had Medicaid (OR = 1.54, P < .001) or no insurance (OR = 1.49, P < .001) compared with those with insurance other than Medicaid, and were late to their previous visit (OR = 2.46, P < .001). Visit-level variables associated with late arrival included appointment time earlier in the day (i.e. 8-10 am, OR = 2.77, P < .001 compared with 4-6 pm), earlier in the week (i.e. on Mondays, OR = 1.21, P < .001 compared with Wednesdays), and for certain subspecialty clinics ( P < .001). Numerous variables are significantly associated with late arrival for pediatric clinic appointments.


ambulatory care; clinic visit; demographics; late arrivals; outpatient clinic

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