@Article{info:doi/10.2196/jmir.6747,
author="Zhao, Peng
and Yoo, Illhoi
and Lavoie, Jaie
and Lavoie, Beau James
and Simoes, Eduardo",
title="Web-Based Medical Appointment Systems: A Systematic Review",
journal="J Med Internet Res",
year="2017",
month="Apr",
day="26",
volume="19",
number="4",
pages="e134",
keywords="appointments and schedules; Internet; smartphone; patient-centered care; no-show patients; hospital information systems",
abstract="Background: Health care is changing with a new emphasis on patient-centeredness. Fundamental to this transformation is the increasing recognition of patients' role in health care delivery and design. Medical appointment scheduling, as the starting point of most non-urgent health care services, is undergoing major developments to support active involvement of patients. By using the Internet as a medium, patients are given more freedom in decision making about their preferences for the appointments and have improved access. Objective: The purpose of this study was to identify the benefits and barriers to implement Web-based medical scheduling discussed in the literature as well as the unmet needs under the current health care environment. Methods: In February 2017, MEDLINE was searched through PubMed to identify articles relating to the impacts of Web-based appointment scheduling. Results: A total of 36 articles discussing 21 Web-based appointment systems were selected for this review. Most of the practices have positive changes in some metrics after adopting Web-based scheduling, such as reduced no-show rate, decreased staff labor, decreased waiting time, and improved satisfaction, and so on. Cost, flexibility, safety, and integrity are major reasons discouraging providers from switching to Web-based scheduling. Patients' reluctance to adopt Web-based appointment scheduling is mainly influenced by their past experiences using computers and the Internet as well as their communication preferences. Conclusions: Overall, the literature suggests a growing trend for the adoption of Web-based appointment systems. The findings of this review suggest that there are benefits to a variety of patient outcomes from Web-based scheduling interventions with the need for further studies. ",
issn="1438-8871",
doi="10.2196/jmir.6747",
url="http://www.jmir.org/2017/4/e134/",
url="https://doi.org/10.2196/jmir.6747",
url="http://www.ncbi.nlm.nih.gov/pubmed/28446422"
}