{"doi":"10.1177/00099228231179673","title":"Predictors of Subspecialty Appointment Scheduling and Completion for Patients Referred From a Pediatric Primary Care Clinic","abstract":"Failure to complete subspecialty referrals decreases access to subspecialty care and may endanger patient safety. We conducted a retrospective analysis of new patient referrals made to the 14 most common referral departments at Boston Children's Hospital from January 1 to December 31, 2017. The sample included 2031 patient referrals. The mean wait time between referral and appointment date was 39.6 days. In all, 87% of referrals were scheduled and 84% of scheduled appointments attended, thus 73% of the original referrals were completed. In multivariate analysis, younger age, medical complexity, being a non-English speaker, and referral to a surgical subspecialty were associated with a higher likelihood of referral completion. Black and Hispanic/Latino race/ethnicity, living in a Census tract with Social Vulnerability Index (SVI) ≥ 90th percentile, and longer wait times were associated with a lower likelihood of appointment attendance. Future interventions should consider both health care system factors such as appointment wait times and community-level barriers to referral completion.","journal":"Clinical Pediatrics","year":2023,"id":347938,"datarank":0.37273599746820013,"base_score":2.4849066497880004,"endowment":2.4849066497880004,"self_citation_contribution":0.37273599746820013,"citation_network_contribution":0.0,"self_endowment_contribution":0.37273599746820013,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":11,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.958,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1090215,"name":"Sara L. Toomey","orcid":null,"position":1,"is_corresponding":false},{"id":317018,"name":"Wanda Phipatanakul","orcid":"0000-0002-0028-8927","position":2,"is_corresponding":false},{"id":783764,"name":"Melissa Rosen","orcid":"0000-0001-7641-9690","position":3,"is_corresponding":false},{"id":1089804,"name":"Ronald C. Samuels","orcid":"0000-0002-7253-6002","position":4,"is_corresponding":false},{"id":1090216,"name":"Kristin Karpowicz","orcid":null,"position":5,"is_corresponding":false},{"id":958662,"name":"S. Flanagan","orcid":"0000-0002-3381-8883","position":6,"is_corresponding":false},{"id":1089805,"name":"Snehal Shah","orcid":"0000-0002-8745-398X","position":7,"is_corresponding":false},{"id":651984,"name":"Corinna J. Rea","orcid":"0000-0001-8034-7423","position":0,"is_corresponding":true}],"reference_count":57,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T01:12:01.859977Z","pmid":"37309813","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}