Predictors of telemedicine appointment no-shows in the Peruvian social health insurance: a cross-sectional study.

IF 2.1 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Journal of Public Health Policy Pub Date : 2026-09-28 DOI:10.1057/s41271-026-00665-2

Berenice Rodriguez-Zea, Bernardette Cotrina Urteaga, Daysi Zulema Diaz-Obregón, Dayana Ticona-Tiña, Fabio Aylas Barranca, Cristhian Jesus Castillo Quispe, Maria Salazar Ccellccaro, Alexis Germán Murillo Carrasco

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引用次数: 0

Abstract

Telemedicine enhances healthcare access but faces challenges with appointment no-shows. In Peru's health system, telemedicine use has expanded rapidly, yet the no-shows' determinants remain underexplored. To identify demographic, geographic, institutional, and temporal factors associated with telemedicine appointment no-shows at EsSalud's National Telemedicine Center (CENATE), we conducted a cross-sectional analysis of 538,312 scheduled telemedicine appointments representing 309,819 patients using routinely collected data from the EsSalud ExplotaDatos platform in 2023-2024 and multivariate Poisson regressions. The estimated average no-show prevalence rate was 6.4% with the highest rates in pediatric neurology and obstetrics specialties. A higher risk for no-show was observed among males, young adults (18-29 years old), residents of the Eastern macro-region, appointments at primary healthcare centers, morning shifts, end-of-year months, and end-of-workweek days. No-shows are influenced by individual, institutional, and contextual factors, highlighting the need for tailored interventions to enhance appointment adherence and optimize virtual care delivery.

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秘鲁社会健康保险中远程医疗预约缺席的预测因素：一项横断面研究。

远程医疗提高了医疗服务的可及性，但也面临预约失约的挑战。在秘鲁的卫生系统中，远程医疗的使用已经迅速扩大，但未出诊的决定因素仍未得到充分探讨。为了确定与EsSalud国家远程医疗中心（CENATE）远程医疗预约缺席相关的人口统计学、地理、制度和时间因素，我们使用EsSalud ExplotaDatos平台在2023-2024年间常规收集的数据和多元泊松回归，对538,312次预约远程医疗进行了横断面分析，代表309,819名患者。估计平均缺勤率为6.4%，儿童神经病学和产科的缺勤率最高。在男性、年轻人（18-29岁）、东部宏观地区的居民、初级卫生保健中心的预约、早班、年终月份和工作日结束的日子中，未赴诊的风险较高。未赴诊受到个人、机构和环境因素的影响，强调需要量身定制的干预措施，以提高预约依从性和优化虚拟护理服务。

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来源期刊

Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.70

自引率

2.60%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.