Broken Appointments: Questions, Not Answers

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Abstract
Our experience suggests that the implications of Nazarian et al.'s study that mailed appointment reminders significantly increase return rates to clinic need to be reevaluated. Although the approach has been found useful in some settings, we attempted a similar form of intervention in the setting of a pediatric neurology clinic at the University of Colorado Medical Center and found no statistically significant impact. All patients seen during a two-month period with a scheduled return appointment were included in the study and alternatively assigned to the study or control group.

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