Predictors of missed appointments for psychiatric consultations in a primary care clinic

Michael Grunebaum, Philip Luber, Mark Callahan, Andrew C. Leon, Mark Olfson, Laura Portera

Research output: Contribution to journalArticlepeer-review

95 Scopus citations


Objective: The purpose of the study was to determine predictors of missed appointments for psychiatric consultations among patients in a general medical clinic. Methods: The charts of 180 patients consecutively referred for psychiatric consultations at a university-affiliated primary care clinic were reviewed. Ninety patients missed appointments for these consultations. Parametric and nonparametric tests were used to compare patients who missed and did not miss appointments on demographic and clinical variables, as well as measures related to patients' interactions with the clinic and the referring clinician. Results: Logistic regression analysis revealed three significant predictors of missed appointments. Patients with mild distress and those with significant resistance to seeing a psychiatrist were more likely to miss appointments, as were those who had to wait longer between the referral and the appointment date. Conclusions: The results suggest that shortening the wait for a psychiatric consultation, reserving consultation for more severe cases, and working to reduce patients' resistance to consultation will reduce the number of missed appointments.

Original languageEnglish (US)
Pages (from-to)848-852
Number of pages5
JournalPsychiatric Services
Issue number8
StatePublished - Aug 1996
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health


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