Reducing Missed Appointments at the Hawaii Health & Harm Reduction Center (HHHRC)

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2022

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Healthcare appointment attendance rates for members of the homeless population, those with mental health issues, and substance abuse patients is markedly lower than attendance rates among other population groups. This project intended to reduce missed appointments in these groups of patients seen by the HHHRC by sending out appointment reminders via text messages. Results from the 3-month long intervention in 2021 were compared with the same 3-month period from the two prior years. Total appointments made for the 3-month period of October through December steadily rose from 2019 to 2021. The total appointments made for the post-intervention period (October 2021-December 2021) was 1016, representing an approximately 60% increase from the pre-intervention monthly average. Despite the intervention and the increase in total appointments made, the percentage of missed appointments (43%) remained essentially constant compared to the pre-intervention periods (41%). No show appointments accounted for 82% of all missed appointments during the post-intervention period and were also comparable to the pre-intervention periods average (35% versus 32%). For this project appointment reminders alone were not able to lower the rates of missed appointments.

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Health care management, Mental health, appointments, Homeless, mental health, substance abuse

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39 pages

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