No Show: Incidence of Nonattendance at a Dermatology Practice in a Single Universal Payer Model

2007 ◽  
Vol 11 (2) ◽  
pp. 53-56 ◽  
Author(s):  
Kevin Pehr
Keyword(s):  
Socioeconomic Status ◽  
Private Practice ◽  
Demographic Data ◽  
Significant Variable ◽  
Attendance Rates ◽  
Practice Model ◽  
Us Studies ◽  
Patient Gender ◽  
Day Of The Week

Background: Nonattendance at scheduled appointments is a major problem. Previous studies have shown rates between 17 and 31%. Most US studies found the type of payer to be the greatest determinant of attendance rates. Objectives: This study examines the no-show rate in a private dermatology practice under a single universal payer model, including the effects of old versus new patient, gender, day of the week, month, and weather. Results: The overall rate of nonattendance was lower than in all previous studies (7.79%), with the only statistically significant variable being established versus new patients. Limitations: Certain demographic data investigated in previous studies (eg, age, socioeconomic status) were not assessable. Data are from a single office. Conclusion: The no-show rate in a single universal payer, private practice model is low, especially for established patients.

A private practice model for teaching and research activities

1991 ◽  
Vol 103 (1) ◽  
pp. 105-108
Author(s):  
Lawrence P. Levitt ◽  
Peter J. Barbour ◽  
John E. Castaldo ◽  
Alexander D. Rae-Grant
Keyword(s):  
Private Practice ◽  
Practice Model ◽  
Teaching And Research ◽  
Research Activities

Demographic and Clinical Characteristics Associated With Adherence to Guideline-Based Polysomnography in Children With Down Syndrome

2020 ◽  
pp. 019459982095483
Author(s):  
Philip D. Knollman ◽  
Christine H. Heubi ◽  
Susan Wiley ◽  
David F. Smith ◽  
Sally R. Shott ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Down Syndrome ◽  
Clinical Characteristics ◽  
Medical Center ◽  
Demographic Data ◽  
Children With Down Syndrome ◽  
Medical Need ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
History Of

Objectives To compare the demographic and clinical characteristics of children with Down syndrome who did and did not receive polysomnography to evaluate for obstructive sleep apnea after publication of the American Academy of Pediatrics’ guidelines recommending universal screening by age 4 years. Study Design Retrospective cohort study. Setting Single tertiary pediatric hospital. Methods Review was conducted of children with Down syndrome born between 2007 and 2012. Children who obtained polysomnography were compared with children who did not, regarding demographic data, socioeconomic status, and comorbidities. Results We included 460 children with Down syndrome; 273 (59.3%) received at least 1 polysomnogram, with a median age of 3.6 years (range, 0.1-8.9 years). There was no difference in the distribution of sex, insurance status, or socioeconomic status between children who received polysomnography and those who did not. There was a significant difference in race distribution ( P = .0004) and distance from home to the medical center ( P < .0001) between groups. Among multiple medical comorbidities, only children with a history of hypothyroidism ( P = .003) or pulmonary aspiration ( P = .01) were significantly more likely to have obtained polysomnography. Conclusions Overall, 60% of children with Down syndrome obtained a polysomnogram. There was no difference between groups by payer status or socioeconomic status. A significant difference in race distribution was noted. Proximity to the medical center and increased medical need appear to be associated with increased likelihood of obtaining a polysomnogram. This study illustrates the need for improvement initiatives to increase the proportion of patients receiving guideline-based screening.

scholarly journals The Influence of Socioeconomic Status on the Presence and Degree of Erectile Dysfunction in Men With Coronary Artery Disease—A Cross-Sectional Study

2019 ◽  
Vol 13 (2) ◽  
pp. 155798831983437
Author(s):  
Lesław Rusiecki ◽  
Romuald Zdrojowy ◽  
Jana Gebala ◽  
Małgorzata Sobieszczańska ◽  
Ryszard Smoliński ◽  
...  
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Erectile Dysfunction ◽  
Economic Status ◽  
Demographic Data ◽  
Occupational Status ◽  
Cross Sectional Study ◽  
Lower Probability ◽  
Modifiable Risk Factors ◽  
Cross Sectional

Impairment of social functioning and low economic status may lead to the development of cardiovascular disease (CVD). This study aimed to evaluate the relationship between socioeconomic status (SES) and erectile dysfunction (ED) in patients with clinically significant CVD. A total of 808 male patients with ischemic heart disease (IHD) were recruited. Socioeconomic and demographic data as well as occupational data and the presence of modifiable risk factors were collected. Erection quality was assessed using the International Index of Erectile Function 5 (IIEF-5), while physical activity was evaluated using a modified Framingham questionnaire. Relationships among the presence of socioeconomic factors (marital status, education, income, occupational status, nature of work conducted, and demographic data), intensity of ED, and time from diagnosis of IHD were assessed. ED was diagnosed in 618 men (76.49% overall; severe in 23.14%, moderate to severe in 13.11%, moderate in 32.20%, mild in 31.55%). Patients with ED were older (61 ± 8.6 vs. 53 ± 9.1 years; p < .0001), were less active (6.97 ± 2.18 vs. 8.31 ± 2.34 Metabolic Equivalent [METs]; p < .0001), and had more modifiable risk factors (3.4 ± 1.1 vs. 3.2 ± 1.0; p < .0300). Higher education was associated with a lower probability of the occurrence of ED (OR = 0.7546; 95% CI [0.6221, 0.9153]). In patients with newly diagnosed IHD, SES correlated significantly with the presence of ED ( p = .009). Education in patients suffering from CVD has a significant relationship with both the occurrence and degree of ED. Economic status was significantly linked to the presence and degree of ED only in patients with IHD diagnosed less than 2 months before entering the study.

The Correlation of Selected Nonmathematical Measures with Mathematics Achievement

1974 ◽  
Vol 5 (1) ◽  
pp. 47-56
Author(s):  
W. George Cathcart
Keyword(s):  
Socioeconomic Status ◽  
Mathematics Achievement ◽  
Grade Level ◽  
Third Grade ◽  
Significant Variable ◽  
Relative Contribution ◽  
Listening Ability ◽  
Achievement In Mathematics ◽  
Grade 3

Most studies that have investigated achievement in mathematics have found that it is correlated with numerous nonmathematical variables. This study examined the relative contribution of intelligence, conservation, socioeconomic status, age, listening ability, vocabulary level, and sex as correlates of mathematics achievement with second- and third-grade pupils. Listening ability and vocabulary levels were significant variables. Intelligence was a significant variable for Grade 3 but not for Grade 2 pupils. Sex and the ability to conserve were not significant at either grade level.

scholarly journals The occurrence of periodontal diseases and its correlation with different risk factors among a convenient sample of adult Egyptian population: a cross-sectional study

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1740
Author(s):  
Marwa M.S. Abbass ◽  
Dina Rady ◽  
Israa Ahmed Radwan ◽  
Sara El Moshy ◽  
Nermeen AbuBakr ◽  
...  
Keyword(s):  
Risk Factors ◽  
Socioeconomic Status ◽  
Dietary Habits ◽  
Periodontal Diseases ◽  
Demographic Data ◽  
Stage Iv ◽  
Education Level ◽  
Or Education ◽  
Cross Sectional ◽  
Egyptian Population

Background: Even though extensive studies on the prevalence of periodontal diseases in various populations worldwide have been carried out, data for the Egyptian population is limited.  The present study was carried out to evaluate the occurrence and the severity of periodontal disease and its correlation with different risk factors. Methods: Periodontal examination was performed on 343 adults attending the outpatient clinics of the Faculty of Dentistry, Cairo University, as well as three private clinics. Socio-demographic data, brushing frequency, body mass index (BMI) and dietary habits were recorded using a questionnaire. Results: It was found that 58.9% of participants had calculus deposits. The occurrence of periodontitis was 89.8%, where 70.8% of participants had stage I and 15.2% had stage II, while only 4.4% and 2.05% suffered from stage III and stage IV, respectively. Calculus was positively correlated with age, grains, and sugar in drinks and negatively correlated with socioeconomic status, education level, brushing frequency and milk. Calculus was not correlated with gender and BMI. Periodontitis was positively correlated with age, carbohydrates other than bread, grains, and crackers, as well as caffeinated drinks, while negatively correlated with gender, socioeconomic status, brushing frequency. Periodontitis was not correlated with BMI or education level. Conclusion: The present study clarifies that age, brushing frequency, carbohydrates and caffeinated drinks consumption are significant factors influencing the occurrence and the severity of periodontal diseases.

scholarly journals Usage of a Digital Health Workplace Intervention Based on Socioeconomic Environment and Race: Retrospective Secondary Cross-Sectional Study (Preprint)

2017 ◽  
Author(s):  
Conor Senecal ◽  
R Jay Widmer ◽  
Kent Bailey ◽  
Lilach O Lerman ◽  
Amir Lerman
Keyword(s):  
Socioeconomic Status ◽  
High Risk ◽  
Digital Health ◽  
Demographic Data ◽  
Health Intervention ◽  
Median Income ◽  
Cross Sectional ◽  
Socioeconomic Environment ◽  
One Year ◽  
Zip Code

BACKGROUND Digital health tools have been associated with improvement of cardiovascular disease (CVD) risk factors and outcomes; however, the differential use of these technologies among various ethnic and economic classes is not well known. OBJECTIVE To identify the effect of socioeconomic environment on usage of a digital health intervention. METHODS A retrospective secondary cross-sectional analysis of a workplace digital health tool use, in association with a change in intermediate markers of CVD, was undertaken over the course of one year in 26,188 participants in a work health program across 81 organizations in 42 American states between 2011 and 2014. Baseline demographic data for participants included age, sex, race, home zip code, weight, height, blood pressure, glucose, lipids, and hemoglobin A1c. Follow-up data was then obtained in 90-day increments for up to one year. Using publicly available data from the American Community Survey, we obtained the median income for each zip code as a marker for socioeconomic status via median household income. Digital health intervention usage was analyzed based on socioeconomic status as well as age, gender, and race. RESULTS The cohort was found to represent a wide sample of socioeconomic environments from a median income of US $11,000 to $171,000. As a whole, doubling of income was associated with 7.6% increase in log-in frequency. However, there were marked differences between races. Black participants showed a 40.5% increase and Hispanic participants showed a 57.8% increase in use with a doubling of income, compared to 3% for Caucasian participants. CONCLUSIONS The current study demonstrated that socioeconomic data confirms no relevant relationship between socioeconomic environment and digital health intervention usage for Caucasian users. However, a strong relationship is present for black and Hispanic users. Thus, socioeconomic environment plays a prominent role only in minority groups that represent a high-risk group for CVD. This finding identifies a need for digital health apps that are effective in these high-risk groups.

scholarly journals Incidence of iron deficiency anemia among the children with febrile seizures.

2021 ◽  
Vol 29 (01) ◽  
pp. 121-125
Author(s):  
Samina Batool ◽  
Nadia Qamar ◽  
Akasha Islam ◽  
Saman Jamal ◽  
Qurat-ul-Ain Rana
Keyword(s):  
Socioeconomic Status ◽  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Rural Areas ◽  
Ferritin Level ◽  
Demographic Data ◽  
Febrile Seizures ◽  
Deficiency Anemia ◽  
Cross Sectional ◽  
Duration Of Symptoms

Objective: To determine frequency of iron deficiency anemia among the children having febrile seizures. Study Design: Descriptive Cross Sectional study. Setting: Pediatric Unit Allama Iqbal Memorial Teaching Hospital Sialkot. Period: September 2020 to February 2021. Material & Methods: Total 70 children were studied with age six months to 10 years with either gender presenting with febrile seizures. All data of the patients was documented including demographic data like age, gender, residential area, educational status, socioeconomic status and clinical findings at the time of presentation like fever, fits and duration of symptoms etc. Blood hemoglobin and ferritin level were tested of each patient to evaluate iron deficiency anemia. Results: There were 65.7% male and 34.3% female cases in this study. Age range of the patients was 6 months to 10 years with mean age of 4.36 ± 2.71 years. Most of the children (60%) were below three years of age. Mostly children belonged to low and middle socioeconomic status with the frequency of 42.8% and 45.7% respectively. Iron deficiency anemia was found in 38.6% cases. Majority of the mothers were illiterate (65%). There were 44.3% cases from rural areas and 55.7% from urban area. Conclusion:  Iron deficiency anemia is a common problem among children with febrile seizures, younger than 03 years and belonging to rural areas. Illiterate mothers, is an important risk factor of iron deficiency anemia in their children.

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