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Research Mentor Name

Ashok Kumar

Research Mentor Email Address


Institution / Department

Wayne State University School of Medicine

Document Type

Research Abstract

Research Type


Level of Research



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.


Medicine and Health Sciences


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

Supplementary Primary Insurance Log Regression.xlsx (17 kB)
Supplementary Primary Insurance Log Regression

KEI Appt Compliance Poster Video.mov (475668 kB)
Poster Video