We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Research Letter |

Use of Health Care Resources and Costs After Patient Nonattendance in Dermatology

Kareem Halim, MD1,2; Qing Yu Weng, BS1; Ifedayo Kuye, BA1; Cara Joyce, PhD3; Arash Mostaghimi, MD, MPA1
[+] Author Affiliations
1Department of Dermatology, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
2Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
3Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana
JAMA Dermatol. 2016;152(2):220-221. doi:10.1001/jamadermatol.2015.4030.
Text Size: A A A
Published online


This review of medical records assesses the use of health care resources and costs associated with dermatology nonattendance in patients at university-affiliated dermatology clinics.

Patient nonattendance occurs when patients miss appointments without notifying their health care professionals in advance. In dermatology, nonattendance rates range from 7.8% to 31.0% of scheduled appointments.1 The consequences of nonattendance range from compromised care to wasted appointment slots, decreased efficiency, and diluted residency training.2 We seek to define the effect of nonattendance on subsequent use of health care resources and health care spending in dermatology.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption
Distribution of Dermatologic Spending Across Nonattendees

Graphical representation of distribution of overall cost. The top 1%, 5%, 10%, and 25% of patients by total spending are responsible for, respectively, 31.8% ($133 000), 50.6% ($211 000), 60.9% ($254 000), and 81.6% ($340 000) of total health care costs.

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles