Comprehensive Analysis to Uncover Determinants of Patient Appointment Compliance in Ophthalmology at the Kresge Eye Institute

Authors

Alisha Khambati, Wayne State University School of MedicineFollow
Lauren Dowell, Wayne State University School of MedicineFollow
Jahan Tajran, Wayne State University School of MedicineFollow
Daniel Juzych, Cranbrook Kingswood High School
Sarah Syeda MD, Kresge Eye Institute
M. Roy Wilson MD, Kresge Eye Institute
Mark Juzych MD, Kresge Eye Institute
Ashok Kumar PhD, Wayne State University School of Medicine

Research Mentor Name

Ashok Kumar

Research Mentor Email Address

akuma@med.wayne.edu

Institution / Department

Wayne State University School of Medicine

Document Type

Research Abstract

Research Type

healthcommunityimpact

Level of Research

no

Abstract

Introduction: Appointment compliance (AC) has a significant impact on physician-patient relationship and overall patient care. However, determinants of AC in Ophthalmology and its subspecialties remains elusive.

Methods: We performed a five-year retrospective analysis across Kresge Eye Institute (KEI) and its affiliated Michigan locations. A total of 597,364 appointments across >13 subspecialties were included. AC was the primary outcome of interest. Compliant (CO) and non-compliant (NC) groups were compared to the following variables: patient characteristics (gender, race, age, insurance), appointment rank (relative to patient history), scheduling location, month, and ophthalmic specialty, in regard to arrival and no-show.

Results: Among all appointments, 59.77% were associated with a female patient and 79.16% of the total number of appointments were compliant. AC differed concerning specialty, with retina representing the highest compliance across all appointments. Among 200+ insurance providers, Medicare was most frequently used and represented the highest share of CO appointments. African Americans were the primary ethnicity served by KEI and had the highest number of NC appointments.

Conclusion: Our study demonstrates the impact of patient demographics, appointment characteristics, and ophthalmic subspecialty on AC. A better understanding of these determinants could allow for an increased CO for Ophthalmology practices.

Disciplines

Medicine and Health Sciences

Recommended Citation

Khambati, Alisha; Dowell, Lauren; Tajran, Jahan; Juzych, Daniel; Syeda, Sarah MD; Wilson, M. Roy MD; Juzych, Mark MD; and Kumar, Ashok PhD, "Comprehensive Analysis to Uncover Determinants of Patient Appointment Compliance in Ophthalmology at the Kresge Eye Institute" (2021). Medical Student Research Symposium. 76.
https://digitalcommons.wayne.edu/som_srs/76

Comments

Thank you very much to all the team members involved in this project.