Appointment Factors Contributing to Children with Speech Disorders Missing Speech and Language Pathology Appointments
This study explores missed pediatric speech and language pathology (SLP) appointments to identify barriers for patients with speech disorders. Data from 839 referrals at Boston Medical Center, including demographics, appointment details, COVID-19 lockdown, and number of items on patient problem list...
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| Veröffentlicht in: | Clinical pediatrics 2024-12, Vol.63 (12), p.1664-1669 |
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| creator | Carnino, Jonathan M. Salvati, Lindsay R. Bayly, Henry Kennedy, Dean G. Mwaura, Amos M. Wilson, Nicholas R. Levi, Jessica R. |
| description | This study explores missed pediatric speech and language pathology (SLP) appointments to identify barriers for patients with speech disorders. Data from 839 referrals at Boston Medical Center, including demographics, appointment details, COVID-19 lockdown, and number of items on patient problem lists, were analyzed using chi-square tests and logistic regression. The findings revealed that lockdown status, appointment timing, appointment type (in-person vs telemedicine), referral department (ear, nose, and throat [ENT] vs non-ENT), sex, race, primary language, birthplace, and primary care provider presence had no significant impact on attendance. However, the number of patient-listed problems, prior cancelations, and missed appointments were significant predictors of patients who did not keep appointments. In conclusion, this research emphasizes the patient’s problem list and past appointment behavior as critical factors in predicting missed SLP appointments for pediatric speech disorder patients. These insights can guide targeted interventions to improve attendance and enhance SLP engagement. |
| doi_str_mv | 10.1177/00099228241235440 |
| format | Article |
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Data from 839 referrals at Boston Medical Center, including demographics, appointment details, COVID-19 lockdown, and number of items on patient problem lists, were analyzed using chi-square tests and logistic regression. The findings revealed that lockdown status, appointment timing, appointment type (in-person vs telemedicine), referral department (ear, nose, and throat [ENT] vs non-ENT), sex, race, primary language, birthplace, and primary care provider presence had no significant impact on attendance. However, the number of patient-listed problems, prior cancelations, and missed appointments were significant predictors of patients who did not keep appointments. In conclusion, this research emphasizes the patient’s problem list and past appointment behavior as critical factors in predicting missed SLP appointments for pediatric speech disorder patients. 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Data from 839 referrals at Boston Medical Center, including demographics, appointment details, COVID-19 lockdown, and number of items on patient problem lists, were analyzed using chi-square tests and logistic regression. The findings revealed that lockdown status, appointment timing, appointment type (in-person vs telemedicine), referral department (ear, nose, and throat [ENT] vs non-ENT), sex, race, primary language, birthplace, and primary care provider presence had no significant impact on attendance. However, the number of patient-listed problems, prior cancelations, and missed appointments were significant predictors of patients who did not keep appointments. In conclusion, this research emphasizes the patient’s problem list and past appointment behavior as critical factors in predicting missed SLP appointments for pediatric speech disorder patients. These insights can guide targeted interventions to improve attendance and enhance SLP engagement.</description><subject>Adolescent</subject><subject>Appointments and Schedules</subject><subject>Boston</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>COVID-19</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Language</subject><subject>Male</subject><subject>No-Show Patients - statistics & numerical data</subject><subject>Pathology</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Primary care</subject><subject>Speech</subject><subject>Speech Disorders - therapy</subject><subject>Speech-Language Pathology - methods</subject><issn>0009-9228</issn><issn>1938-2707</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10cFuEzEQBmCrAtFQeIBeKktcuGwZz8TZ9bFKW0AKAqnlvHLW3sTVxl5sr6q-PY4SoAJx8mG--WfkYexcwKUQdf0BAJRCbHAukOR8DidsJhQ1FdZQv2Czfb3ag1P2OqUHAEEg6RU7pWZOShLN2HQ1jsH5vLM-81vd5RATXwafo1tP2fkNz4Evt24w0Xr-6PKW343Wdlt-7VKIxhb-xaW0l8eC9oavtN9MemP5N523YQibJ_5sUHrDXvZ6SPbt8T1j329v7pefqtXXj5-XV6uqI4RcEQpra4mIfdOU3a1ZdFISECohEBphiNZmbYRRugcJJCXqXnSmhkWPaOmMvT_kjjH8mGzK7c6lzg6D9jZMqUVFdbGgqNB3f9GHMEVftmtJoCymUYuixEF1MaQUbd-O0e10fGoFtPubtP_cpPRcHJOn9c6a3x2_jlDA5QGk8mN_xv4_8Sf8yZN9</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Carnino, Jonathan M.</creator><creator>Salvati, Lindsay R.</creator><creator>Bayly, Henry</creator><creator>Kennedy, Dean G.</creator><creator>Mwaura, Amos M.</creator><creator>Wilson, Nicholas R.</creator><creator>Levi, Jessica R.</creator><general>SAGE Publications</general><general>Westminster Publications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8908-7269</orcidid></search><sort><creationdate>20241201</creationdate><title>Appointment Factors Contributing to Children with Speech Disorders Missing Speech and Language Pathology Appointments</title><author>Carnino, Jonathan M. ; 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Data from 839 referrals at Boston Medical Center, including demographics, appointment details, COVID-19 lockdown, and number of items on patient problem lists, were analyzed using chi-square tests and logistic regression. The findings revealed that lockdown status, appointment timing, appointment type (in-person vs telemedicine), referral department (ear, nose, and throat [ENT] vs non-ENT), sex, race, primary language, birthplace, and primary care provider presence had no significant impact on attendance. However, the number of patient-listed problems, prior cancelations, and missed appointments were significant predictors of patients who did not keep appointments. In conclusion, this research emphasizes the patient’s problem list and past appointment behavior as critical factors in predicting missed SLP appointments for pediatric speech disorder patients. 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| subjects | Adolescent Appointments and Schedules Boston Child Child, Preschool COVID-19 Female Humans Infant Language Male No-Show Patients - statistics & numerical data Pathology Patients Pediatrics Primary care Speech Speech Disorders - therapy Speech-Language Pathology - methods |
| title | Appointment Factors Contributing to Children with Speech Disorders Missing Speech and Language Pathology Appointments |
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