Crawford, Elizabeth; Scott, Cathy; Whitted, Jodi
University of Tennessee at Chattanooga
Place of Publication
Community health clinics have surfaced to provide primary care to low-income individuals, but they are currently hurting due to an overwhelmingly high no-show rate. (Population Reference Bureau, 2016; Nowacki, 2013). While there is extensive research on how to overcome no-show appointments in private medical clinics, clinics that serve a low-income clientele cannot succumb to the same methods of intervention due to the financial and physical barriers community health centers face (Nowacki, 2013). The purpose of this project was to extend upon previous studies on strategies to improve the no-show rate at a local community health center by doing a mixed-method, cross sectional study of low-income adults in a primary care setting. This study explored the patients’ perceptions of barriers and needed resources and also attempted to find correlations between patient demographics and no-show rates. This study found a higher no-show rate in younger patients and also in African American/Black patients. A large number of patients missed appointments due to personal issues and societal barriers. This study also found high patient satisfaction in the overall clinic. Since the purpose of the study was to uncover reasons behind the no-show phenomenon, it was appropriate to discuss interventions that may improve the high no-show rates and overall clinic functionality. Recommendations include implementing a program that provides transportation, increasing exposure of social services provided by the clinic, educating patients on the importance of preventative health care, and completing minimal facility improvements.
B. S. W.; An honors thesis submitted to the faculty of the University of Tennessee at Chattanooga in partial fulfillment of the requirements of the degree of Bachelor of Social Work.
Community health services; Medically uninsured persons -- Medical care
Boshers, Erin, "Improving no-show rates in a community health center" (2018). Honors Theses.