Examining the Association of Social Determinants of Health with Missed Clinic Visits in Patients with Heart Failure in the Veterans Health Administration
Missed clinic visits, or no-shows, are a significant resource drain on the Veterans Health Administration (VA).1 The VA reports that 15–18% of scheduled primary care appointments are not completed, costing an estimated half a billion dollars per year.2 While some social determinants of health (SDOH) are shown to influence clinic no-show rates in other populations, no prior work has explored their effect among Veterans. Focusing on a cohort that require frequent clinic visits, our goal was to assess the association of three SDOH with missed clinic visits among Veterans hospitalized for congestive heart failure (CHF).
From a national sample, we first identified all Veterans 65 and older who were hospitalized for hearth failure, then randomly selected 1500 hospitalized with a primary diagnosis of CHF in 2012. Based on previous work,3three SDOH (lives alone, social support, and housing situation) were extracted and verified through chart abstraction by two reviewers....
This work was supported by NHLBI R01 RO1 HL116522-01A1.
Compliance with Ethical Standards
Conflict of Interest
The authors report no conflicts of interest in the submission of this manuscript
- 1.Access and Quality in VA Healthcare. https://www.accesstocare.va.gov/. Accessed March 5, 2019.