European Archives of Paediatric Dentistry

, Volume 10, Issue 1, pp 15–18 | Cite as

Use of Mobile Telephone Short Message Service (SMS) as a Reminder: the Effect on Patient Attendance

  • J. FoleyEmail author
  • M. O’Neill


AIM: To evaluate the operational and financial efficacy of sending short message service (SMS) mobile telephone text message to patients with outpatient clinic appointments. STUDY DESIGN: Patients scheduled to attend an outpatient appointment at the Dept. Paediatric Dentistry, Edinburgh Dental Institute, Scotland, during October 2007 and who had mobile telephone contact details were sent a reminder SMS text 24hr prior to their appointment. An historical control group were selected from October 2006. RESULTS: Data were available for 276 (F: 146; M: 130) and 433 (F: 228; M: 205) patient attendances during 2006 and 2007 respectively. Overall, 10.4% and 23.9% of the SMS and historical group failed to attend (FTA) respectively and the difference was statistically significant (Chi Square = 6.95, p = 0.008, 1 d.f). There was a reduction in the FTA rate for the specialist paediatric staff dentists from 29.2% to 24.4% for 2006 and 2007 respectively. The cost of sending text messages was £28.15 (approx. €0) for October 2007. CONCLUSIONS: The use of SMS text messages as a reminder may reduce the failure to attend rate for outpatient paediatric dental appointments.


Patient attendance SMS paediatric dentistry 


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  1. Atun AR, Mohan A. Uses and Benefits of SMS in Healthcare Delivery. Centre for Health Management. Tanaka Business School. Imperial College, London 2005.Google Scholar
  2. Bos A, Hoogstraten J, Prahl-Andersen B. Failed appointments in an orthodontic clinic. Am J Orthod Dentofacial Orthop 2005;127:355–357.PubMedCrossRefGoogle Scholar
  3. Developing Patient Partnerships. Public and practices unite against missed appointments, 2007.
  4. Downer SR, Meara JG, Da Costa AC. Use of SMS text messaging to improve outpatient attendance. Med J Aust 2005;183:366–368.PubMedGoogle Scholar
  5. Downer SR, Meara JG, Da Costa AC, Sethuraman K. SMS text messaging improves outpatient attendance. Aust Health Rev 2006;30:389–396.PubMedCrossRefGoogle Scholar
  6. Geraghty M, Glynn F, Amin M, Kinsella J. Patient mobile telephone ‘text’ reminder: a novel way to reduce non-attendance at the ENT out-patient clinic. J Laryngol Otol 2008;122:296–298.PubMedCrossRefGoogle Scholar
  7. Hashim MJ, Franks P, Fiscella K. Effectiveness of telephone reminders in improving rate of appointments kept at an outpatient clinic: a randomized controlled trial. J Am Board Fam Pract 2001;14:193–196.PubMedGoogle Scholar
  8. Karter AJ, Parker MM, Moffet HH, et al. Missed appointments and poor glycemic control: an opportunity to identify high-risk diabetic patients. Med Care 2004;42:110–115.PubMedCrossRefGoogle Scholar
  9. Lee CS, McCormick PA. Telephone reminders to reduce non-attendance rate for endoscopy. J R Soc Med 2003;96:547–548.PubMedCrossRefGoogle Scholar
  10. Lieu TA, Capra AM, Makol J, Black SB, Shinefield HR. Effectiveness and cost-effectiveness of letters, automated telephone messages, or both for underimmunized children in a health maintenance organization. Pediatrics 1998;101: E3.PubMedCrossRefGoogle Scholar
  11. Murray M. Patient care: access. Br Med J 2000;320:1594–1596.CrossRefGoogle Scholar
  12. Reti S. Improving outpatient department efficiency: a randomized controlled trial comparing hospital and general-practice telephone reminders. N Z Med J 2003;116: U458.PubMedGoogle Scholar
  13. Richardson A. Failed appointments in an academic orthodontic clinic. Br Dent J 1998;184:612–615.PubMedCrossRefGoogle Scholar
  14. Sawyer SM, Zalan A, Bond LM. Telephone reminders improve adolescent clinic attendance: a randomized controlled trial. J Paediatr Child Health 2002;38:79–83.PubMedCrossRefGoogle Scholar
  15. Self A. Office for National Statistics. Social Trends, 2007. Trends_37.pdf. The Mobile Data Association (online). Latest Text and Mobile Internet Page Impression Statistics. (2006)
  16. Tierney CD, Yusuf H, McMahon SR, et al. Adoption of reminder and recall messages for immunizations by pediatricians and public health clinics. Pediatrics 2003;112:1076–1082.PubMedCrossRefGoogle Scholar
  17. Trenouth MJ, Hough A. Reasons for broken and canceled appointments in a British orthodontic clinic. J Clin Orthod 1991; 25:115–120.PubMedGoogle Scholar

Copyright information

© Adis International 2009

Authors and Affiliations

  1. 1.Dept. Paediatric DentistryEdinburgh Dental InstituteEdinburghScotland

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