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Articles

Evaluating Patient Navigation to Improve First Appointment No-show Rates in Uninsured Patients with Diabetes

, DNP, ACNP-BC, , PhD, CRNP, ACNP-BC, , MA, RD, CDE & , PhD, RN, FAAN
Pages 11-18 | Published online: 03 Jan 2019
 

ABSTRACT

Free clinics increase access to care, however, patients frequently miss appointments. The purpose of this quality improvement project was to determine if providing patient navigation affects first appointment no-show rates and hemoglobin A1c (HbA1c) in uninsured patients with diabetes at a free clinic. For 6 months, all patients scheduled for new appointments received weekly patient navigation calls. First appointment no-show rates decreased by 17.7% (p = 0.01). Among patients who received at least one patient navigation call, a significantly greater proportion attended their first appointment (72%) compared to the show rate for those who did not receive a completed call (43%) (p = 0.004).

Conflict of interest

This manuscript has not been published or simultaneously submitted for publication elsewhere. There are no conflicts of interest.

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