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J Community Health Nurs. 2019 Jan-Mar;36(1):11-18. doi: 10.1080/07370016.2018.1555315.

Evaluating Patient Navigation to Improve First Appointment No-show Rates in Uninsured Patients with Diabetes.

Author information

1
a Department of Acute, Chronic, and Continuing Care , University of Alabama at Birmingham School of Nursing , Birmingham , Alabama , USA.
2
b PATH Clinic , University of Alabama , Birmingham , Alabama , USA.
3
c Department of Family, Community, and Health Systems , University of Alabama at Birmingham School of Nursing , Birmingham , Alabama , USA.

Abstract

Free clinics increase access to care, however, patients frequently miss appointments. The purpose of this quality improvement project was to determine if providing patient navigation affects first appointment no-show rates and hemoglobin A1c (HbA1c) in uninsured patients with diabetes at a free clinic. For 6 months, all patients scheduled for new appointments received weekly patient navigation calls. First appointment no-show rates decreased by 17.7% (p = 0.01). Among patients who received at least one patient navigation call, a significantly greater proportion attended their first appointment (72%) compared to the show rate for those who did not receive a completed call (43%) (p = 0.004).

PMID:
30793960
DOI:
10.1080/07370016.2018.1555315
[Indexed for MEDLINE]

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