Behavioural economic interventions to reduce health care appointment non-attendance: a systematic review and meta-analysis

作者：Kalin Werner, Sara Abdulrahman Alsuhaibani, Reem F. Alsukait, Reem Alshehri, Christopher H. Herbst, Mohammed Alhajji, Tracy Kuo Lin · 发表于：BMC Health Services Research · 年份：2023 · DOI：10.1186/s12913-023-10059-9 · 被引用次数：33 · 研究领域：Healthcare Operations and Scheduling Optimization、Emergency and Acute Care Studies、Healthcare Technology and Patient Monitoring

BACKGROUND: Appointment non-attendance - often referred to as "missed appointments", "patient no-show", or "did not attend (DNA)" - causes volatility in health systems around the world. Of the different approaches that can be adopted to reduce patient non-attendance, behavioural economics-oriented mechanisms (i.e., psychological, cognitive, emotional, and social factors that may impact individual decisions) are reasoned to be better suited in such contexts - where the need is to persuade, nudge, and/ or incentivize patients to honour their scheduled appointment. The aim of this systematic literature review is to identify and summarize the published evidence on the use and effectiveness of behavioural economic interventions to reduce no-shows for health care appointments. METHODS: We systematically searched four databases (PubMed/Medline, Embase, Scopus, and Web of Science) for published and grey literature on behavioural economic strategies to reduce no-shows for health care appointments. Eligible studies met four criteria for inclusion; they were (1) available in English, Spanish, or French, (2) assessed behavioural economics interventions, (3) objectively measured a behavioural outcome (as opposed to attitudes or preferences), and (4) used a randomized and controlled or quasi-experimental study design. RESULTS: Our initial search of the five databases identified 1,225 articles. After screening studies for inclusion criteria and assessing risk of bias, 61 studies were includ...