ObjectiveTo determine if patient factors related to ethnicity, socioeconomic status (SES), medical comorbidities, or appointment characteristics increase the risk of missing an initial adult otolaryngology appointment.MethodsThis study is a retrospective case control study at Boston Medical Center (BMC) in Boston, Massachusetts, that took place in 2019. Patient demographic and medical comorbidity data as well as appointment characteristic data were collected and compared between those that attended their initial otolaryngology appointment versus those who missed their initial appointment. Chi‐square and ANOVA tests were used to calculate differences between attendance outcomes. Multivariate analysis was used to compare the odds of missing an appointment based on various patient‐ and appointment‐related factors.ResultsPatients who were more likely to miss their appointments were more often female, of lower education, disabled, not employed, Black or Hispanic, and Spanish‐speaking. Spring and Fall appointments were more likely to be missed. When a multivariate regression was conducted to control for social determinants of health (SDOH) such as race, insurance status, employment, and education status, the odds of females, Spanish‐speaking, students, and disabled patients missing their appointment were no longer statistically significant.ConclusionA majority of patients at BMC come from lower SES backgrounds and have multiple medical comorbidities. Those who reside closer to BMC, often areas of lower average income, had higher rates of missed appointments. Interventions such as decreasing lag time, providing handicap‐accessible free transportation, and increasing accessibility of telemedicine for patients could help improve attendance rates at BMC.Level of EvidenceIV Laryngoscope, 2024

中文翻译：

---

城市安全网医院错过耳鼻喉科预约的患者因素

目的确定与种族、社会经济地位 (SES)、医疗合并症或预约特征相关的患者因素是否会增加错过初次成人耳鼻喉科预约的风险。方法本研究是在波士顿的波士顿医疗中心 (BMC) 进行的一项回顾性病例对照研究，马萨诸塞州，该事件发生在 2019 年。收集了患者人口统计和医疗合并症数据以及预约特征数据，并比较了首次耳鼻喉科预约的患者与错过初次预约的患者之间的情况。卡方和方差分析用于计算出勤结果之间的差异。基于各种患者和预约相关因素，采用多变量分析来比较错过预约的几率。结果更有可能错过预约的患者通常是女性、教育程度较低、残疾、无业、黑人或西班牙裔，和说西班牙语的。春季和秋季的约会更有可能被错过。当进行多变量回归来控制种族、保险状况、就业和教育状况等健康社会决定因素 (SDOH) 时，女性、西班牙语患者、学生和残疾患者错过预约的几率不再具有统计意义结论 BMC 的大多数患者来自较低的 SES 背景，并且患有多种医疗合并症。那些居住在距离 BMC 较近的地区（通常是平均收入较低的地区）的错过预约率较高。减少滞后时间、提供无障碍免费交通以及增加患者远程医疗的可及性等干预措施可能有助于提高 BMC 的就诊率。 证据级别 IV喉镜, 2024