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Sunday 04 November 2007

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One of Ten Miss Doctors Appointments
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One of Ten Miss Doctors Appointments
Sunday's edition of the daily Spanish language La Nación reports that one of ten Caja Costarricense de Seguro Social (CCSS) patients miss their doctor's appointment because they just forget. And absenteeism increases when missing medical appointments with specialists, like a cardiologist or orthopedist.

The missed appointments with specialists is almost 16%, according to information by the CCSS. The CCSS says that between January and August of this year was 9.4% of the appointments with general practitioners and 15.9% with specialists.

The major cause of the missed appointments is lack of interest by the patient who simply doesn't show up for not controlling their appointments.

The CCSS also recognizes that the problem lies in that the majority of appointments are months away, anywhere from three to six months, and people tend to forget appointments and feeling better and not requiring medical attention.

Rosa Climent, medical director of the CCSS, in the cases of specialists, once the appointment is missed it is lost. Patients are not waiting in line to fill in a missed appointment. In the case of general medicine, however, there are always lines and a patient to fill in the missed slot.

When it comes to general medicine, Climent, added that the missed appointment rate drops as other patients take the time slot and reduces the CCSS costs due to missed appointments.

According to the Departamento de Estadística de la Caja (CCSS statistics department) 16 million consultations are recorded each year, the majority for general medicine (6.7 million), 2.5 million with specialists; and 4.6 million are handled at the emergency rooms.

The cost of a consultation varies at different hospitals. For instance, the average cost of a consultation at the México and Calderón Guardia hospitals was ¢24.000 colones lat year, while the cost at the San Juan de Dio, ¢27.946 colones and the Solón Núñez, de Hatillo, clinic ¢11.500 colones.

The problem of missed appointments is worrisome for the CCSS and has developed a plan in the metropolitan (San José) area clinics they have installed call centres to make appointments and to call patients with a reminder.
 



 

 

 

 
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