No-shows among female patients aged 18-35

Magdalena Sobolewska, Magdalena Miros, Dominik Olejniczak


Introduction. Patients’ failure to keep medical appointments or to cancel them is becoming an increasing problem for the health care system. The phenomenon of missing medical appointments refers to patients of both public and private healthcare facilities. It has a negative impact on the functioning of the health care system, by contributing to longer waiting times for health services and generating financial losses.
Aim. The aim of the study was to analyze no-shows in female patients aged 18-35.
Material and method. The research tool used in the study was a survey that was conducted among 705 women aged 18-35. The survey questionnaire had been developed by the authors of the study and consisted of particulars and five thematic areas. The first area concerned cancellation of medical appointments and the reasons behind it. In the second area, patients’ punctuality was assessed. The third area focused on preferred methods of arranging and cancelling medical appointments. In the fourth area, women’s opinion on the idea of spreading lists of negligent patients among medical facilities was examined. The fifth area referred to patients’ solutions to the problem of not keeping medical appointments. The obtained data was subjected to statistical analysis using the ² test, where p < 0.05 was considered to be a statistically significant.
Results. The study shows that nearly 75% of women have canceled their medical appointment at least once. The phenomenon of not keeping appointments and not cancelling them concerned in particular women aged 29-35 (33%). In each of the three age groups, the most frequent reasons for not attending an appointment and not cancelling it were forgetfulness, recovery from a health condition, other more important errands and personal situation. Over a quarter of respondents declared having been late for an appointment at least once (28%). Nearly half of the respondents inform medical facilities about the fact of being late (46%).
Conclusions. It is necessary to monitor patients’ failure to keep medical appointments, introduce a general system of reminding patients about medical appointments and educate patients about the obligation to inform medical facilities about cancelling appointments.


no-shows; female patients; medical appointments

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Główny Urząd Statystyczny. Zdrowie i ochrona zdrowie w 2017 r. Warszawa, Kraków, Zakład Wydawnictw Statystycznych 2018: 84.

Ustawa z dnia 27 sierpnia 2004 r. o świadczeniach opieki zdrowotnej finansowanych ze środków publicznych, Dz.U. 2004 nr 210 poz. 2135, art. 20.

Johnson B.J., Mold J.W., Pontius J.M. Reduction and management of no-shows by family medicine residency practice exemplars. Ann. Fam. Med 2007; 5:534–539.

Tabish, S., Nabil S. Future of healthcare delivery: Strategies that will reshape the healthcare industry landscape. Int J Sci Res 2015; 4: 727–758.

Mattheus C., Managerial Intervention Strategies to Reduce Patient No-Show Rate, Walden University 2017; 38–45.

Kheirkhah P., Feng O., Travis L., Tavakoli-Tabasi S., Sharafkhaneh A. Prevalence, predictors and economic consequences of no-shows. BMC Health Serv Res 2016;16:13.

Krufczyk M., Pacjenci – widma prześwietleni: wyniki ankiety o umawianiu wizyt, pobrano z:


Caitlin E., Fiorillo M.D., Allyson L., Hughes BS., I-Chen C., Westgate P., Gal T., Bush M., Comer B. Factors Associated with Patient No-Show Rates in an Academic Otolaryngology Practice. Laryngoscope 2018; 128(3): 626–631.

Dantas L., Hamacher S., Cyrino Oliveira F., Barbosa S., Viegas F. Predicting Patient No-show Behavior: a Study in a Bariatric Clinic. Obes Surg 2019; 29(1): 40–47.

Ullah S., Rajan S., Liu T., Demagistris E., Jahrstorfer R., Anandan S., Gentile C., Gil A. Why do Patients Miss their Appointments at Primary Care Clinics?. J Fam Med Dis Pre 2018; 4: 09.

Finkelstein R., Liu, N., Jani B., Rosenthal D., Poghosyan L. Appointment reminder systems and patient preferences: Patient technology usage and familiarity with other service providers as predictive variables. Health Informatics J 2013; 19(2): 79–90.

Al-Aomar R., Awad M. Dynamic process modeling of patients’ no-show rates and overbooking strategies in healthcare clinics. Int J Prod Econ 2012; 3(1-2): 3–21.

Okotie O., Patel N., Gonzalez C. The Effect of Patient Arrival Time on Overall Wait Time and Utilization of Physician and Examination Room Resources in the Outpatient Urology Clinic. Adv Urol 2008; (507436): 2.

Klassen, K., Yoogalingam, R. Appointment system design with interruptions and physician lateness. International Journal of Operations & Production Management 2013; 33: 394–41.

Raport Profil i zachowania Pacjenta 3.0. na przykładzie serwisów Grupy DocPlanner. Com. Pobrano z:



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