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Sustained reduction in no-show rate with the integration of teledermatology in a Federally Qualified Health Center

      To the Editor: “No-shows” or patients that do not appear for their scheduled appointment are a persistent challenge in Federally Qualified Health Centers (FQHCs).
      • Cruz H.E.
      • Gawrys J.
      • Thompson D.
      • Mejia J.
      • Rosul L.
      • Lazar D.
      A multipronged initiative to improve productivity and patient access in a federally qualified health center network.
      FQHCs are critical components of the health care safety net serving Medicaid recipients, minority populations, the uninsured, and patients below the poverty line.
      • Cruz H.E.
      • Gawrys J.
      • Thompson D.
      • Mejia J.
      • Rosul L.
      • Lazar D.
      A multipronged initiative to improve productivity and patient access in a federally qualified health center network.
      ,
      • Fares M.
      Dermatology in safety net hospitals.
      In these facilities, no-shows for scheduled dermatology visits commonly approach 35% or more.
      • Cruz H.E.
      • Gawrys J.
      • Thompson D.
      • Mejia J.
      • Rosul L.
      • Lazar D.
      A multipronged initiative to improve productivity and patient access in a federally qualified health center network.
      ,
      • Fares M.
      Dermatology in safety net hospitals.
      These missed appointments are associated with poorer outcomes, increased health care costs, and longer wait times to see a physician.
      • Cruz H.E.
      • Gawrys J.
      • Thompson D.
      • Mejia J.
      • Rosul L.
      • Lazar D.
      A multipronged initiative to improve productivity and patient access in a federally qualified health center network.
      ,
      • Fares M.
      Dermatology in safety net hospitals.
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      References

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        • Gawrys J.
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        • Rosul L.
        • Lazar D.
        A multipronged initiative to improve productivity and patient access in a federally qualified health center network.
        J Ambul Care Manage. 2018; 41: 225-237https://doi.org/10.1097/JAC.0000000000000230
        • Fares M.
        Dermatology in safety net hospitals.
        The Dermatologist. 2019; 27
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        Understanding the impact of teledermatology on no-show rates and health care accessibility: a retrospective chart review.
        J Am Acad Dermatol. 2021; 84: 769-771https://doi.org/10.1016/j.jaad.2020.09.019
      1. Horn D. Telemedicine is booming during the pandemic. But it’s leaving people behind. The Washington Post. July 9, 2020.

        • Cline A.
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        • Berk-Krauss J.
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        Bridging the digital divide: the use of text message-enabled video in the public safety-net setting.
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