Increasing Patient Retention for Native Hawaiian and Pacific Islander Patients at an Outpatient Oncology Treatment Center in Hawai'i

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dc.contributor.advisorKataoka-Yahiro, Merle
dc.contributor.authorPeña, Nathalie Aurelia
dc.contributor.departmentNursing Practice
dc.date.accessioned2024-07-02T23:42:44Z
dc.date.available2024-07-02T23:42:44Z
dc.date.issued2024
dc.description.degreeD.N.P.
dc.identifier.urihttps://hdl.handle.net/10125/108405
dc.subjectNursing
dc.subjectappointment retention
dc.subjectdropouts
dc.subjectlost to follow-up
dc.subjectmissed appointments
dc.subjectno-shows
dc.titleIncreasing Patient Retention for Native Hawaiian and Pacific Islander Patients at an Outpatient Oncology Treatment Center in Hawai'i
dc.typeThesis
dcterms.abstractHealthcare appointment attendance rates for Native Hawaiians and Pacific Islanders (NHPIs) are markedly lower than those of other population groups at an outpatient oncology clinic, impacting existing health disparities. In outpatient oncology, missed appointments and dropouts can decrease treatment success for cancer screening and detection. Missed appointments, or “no-shows,” occur when patients do not attend their scheduled appointment(s) without prior notice. A dropout occurs when a patient is not seen up to three months after a missed appointment. This quality improvement (QI) project aimed to reduce missed appointments and dropouts of NHPI patients at an outpatient oncology clinic in Honolulu. All patients were included during implementation regardless of race or ethnicity. Up to three phone call attempts were made to patients marked “no-show” to encourage rescheduling. Reasons for missed appointments were collected. Results from the two-month-long intervention were compared with a two-month period before implementation and analyzed using SPSS version 28. From October 1 to December 1, 2023, fifty-five calls were made during the intervention period. The no-show rate decreased from 4.36% in the comparison group to 3.02% in the intervention group. The dropout rate slightly decreased from 1.97% to 1.26%, while the average number of days to reschedule a missed appointment decreased from 43 to 37 days. The most reported reason for a missed appointment was patient error. The results indicate follow-up phone calls after a no-show can slightly improve patient retention, and direct communication may encourage patients to reschedule and attend future appointments.
dcterms.extent36 pages
dcterms.languageen
dcterms.publisherUniversity of Hawai'i at Manoa
dcterms.rightsAll UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
dcterms.typeText
local.identifier.alturihttp://dissertations.umi.com/hawii:12234

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