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[Blog](https://info.onedoc.ch/en/blog/ "Go to Blog.") [Pediatricians](https://info.onedoc.ch/en/blog/pediatricians/ "Go to the Pediatricians Category archives.") No-shows in pediatrics: strategies and measures applicable to pediatric practices in Switzerland # No-shows in pediatrics: strategies and measures applicable to pediatric practices in Switzerland Last updated on 17/03/2026 [Pediatricians](https://info.onedoc.ch/en/blog/pediatricians/)  [No-shows](https://info.onedoc.ch/en/needs/reduce-no-shows/) are a key challenge for [Swiss paediatric practices](https://info.onedoc.ch/en/specialty/pediatrician/) and __affect both economic viability and the quality of medical care__. In this article, discover __strategies to systematically reduce missed appointments__ in your practice. ## How no-shows affect paediatric practices in Switzerland ### Economic and operational impact No-shows cause considerable financial losses for Swiss paediatric practices. __Each missed appointment represents a direct loss of revenue of CHF 80 to 150 on average__, depending on the type of consultation scheduled. For a practice with __200 appointments per week and a no-show rate of 10 per cent__, annual losses therefore amount to __CHF 80,000 to 150,000__! The operational consequences go beyond direct losses. __No-shows significantly increase the pressure that already exists in your practice__, because resources cannot be used. Your staff prepares for every consultation: medical files are reviewed, examination rooms prepared, and equipment made available. In the event of a no-show, all this preparation time is lost, while other patients could have been treated instead. For the practice team, frequent missed appointments mean extra administrative work through follow-up, rescheduling and waiting list management. __Planning uncertainty makes it harder to organise the day efficiently__ and can lead to frustration in the long run. ### Medical consequences for young patients The medical consequences weigh particularly heavily in paediatrics. The goal of long-term follow-up is to reduce the burden of long-term complications through prevention, early detection and appropriate treatment. __Missed appointments directly compromise these care objectives__. Children with chronic illnesses such as asthma, diabetes or congenital heart defects require regular monitoring. __Every missed follow-up appointment carries the risk of delayed detection of complications__. In immunocompromised children, missed check-ups can have potentially fatal consequences. In preventive paediatric medicine, no-shows also have major consequences. __Missed preventive check-ups may mean that developmental delays, vision problems or hearing disorders are not detected in time__. For vaccination appointments, no-shows endanger not only individual vaccine protection, but can also affect herd immunity. Interrupted continuity of care also makes it harder to build a relationship of trust between doctor and patient, which is particularly important in paediatrics. ## Why are there so many no-shows in paediatrics? Several factors can explain the number of no-shows in paediatrics. These include __parents’ busy lives__, which lead to forgetfulness or unavailability, and __the absence of an appointment reminder system__. ### Reasons specific to parents The reasons for missed appointments are complex and varied: - __Forgetting the appointment__: particularly for working parents with several children and a busy family life, appointments are easily forgotten without effective reminder systems - __Work commitments__: difficulties getting time off work at short notice, especially when both parents work full time - __Looking after siblings__: the dilemma of bringing all the children along or organising childcare - __Perceived improvement__: when acute symptoms appear to improve, some parents decide that the consultation is no longer necessary, __without taking into account the medical importance of a specialist assessment__ ### Practice-specific factors Internal practice factors also contribute to the no-show issue. - __Excessively long waiting times:__ When waiting times regularly exceed one hour, __motivation to attend future appointments decreases__. Long waiting times during previous visits leave negative experiences and can lead to passive refusal. - __Unclear appointment confirmations, complicated cancellation processes and the absence of reminder systems__ significantly worsen the problem. When parents have to call several times during limited phone hours to cancel, they simply do not show up. ### Systemic challenges in the Swiss context - __Differences in insurance coverage and deductible models: The complexity of the insurance system__ can unsettle parents, particularly for non-urgent follow-up appointments. - __Geographical accessibility__ varies significantly between urban and rural areas. A longer journey can discourage parents from coming. To address this, it is also possible to offer [teleconsultations](https://info.onedoc.ch/en/visio/teleconsultation-module/). - __Language barriers also make communication more difficult:__ Families with limited French skills may not fully understand telephone bookings or SMS reminders.  [Discover the positive impact of teleconsultation on paediatrics with Katja Berlinger, CEO of Swiss Medi Kids](https://info.onedoc.ch/en/blog/all-specialties/case-study-teleconsultation-pediatry-perspective/) ## 4 strategies to prevent no-shows in paediatrics ### 1. Put proactive communication measures in place SMS reminder systems are the foundation of successful no-show prevention. Sending an SMS __24 hours before the appointment can reduce the no-show rate by up to 75%__. __SMS reminders have open rates of over 95 per cent__ and should include the child’s name, date, time and doctor’s name. Email confirmations are suitable for __more detailed information__ such as the entrance door code or consultation requirements (e.g. arriving fasting). ### 2. Optimise appointment booking Appointment booking systems streamline the patient journey in paediatrics. __Parents who book their appointments online themselves are more likely to attend__, because they actively choose a suitable time and receive immediate confirmation. Shorter lead times between booking and the actual appointment reduce the likelihood of forgetting. __For non-urgent check-ups, the proposed appointment should ideally fall within two to four weeks__. Flexible appointment slots with consultations early in the morning and at the end of the day, as well as Saturday openings, increase compatibility with work commitments. Same-day appointments for urgent requests reduce unnecessary emergency department visits. __When parents know they can get a short-notice appointment for acute problems, they are more likely to keep routine appointments booked further in advance__. ### 3. Clearly present your cancellation policies and their consequences Clear, written no-show policies create transparency and commitment. __They should be communicated as early as the initial registration and displayed prominently on the practice website__. An appropriate cancellation deadline is typically within 24 hours. A system of progressive consequences is more effective than immediate sanctions: __first no-show with a friendly reminder, second with a written warning, third with reservations about future appointment allocation or billing for the missed appointment__. ### 4. Reduce waiting times in the practice __Waiting times of less than 30 minutes are considered acceptable by most parents__. Realistic appointment scheduling and buffer times for emergencies help reduce delays. Transparent communication in the event of unavoidable delays shows respect. __When waiting times exceed 20 minutes, the practice team should inform patients proactively__. A pleasantly designed, child-friendly waiting room significantly reduces perceived waiting time.  [Discover how to design your medical practice waiting room effectively](https://info.onedoc.ch/en/blog/all-specialties/waiting-room-medical-practice/) ## Measures to reduce no-shows in paediatrics ### Measures you can implement right away - __Activating an SMS reminder system should be the top priority__. Even a simple manual system has an immediate effect. - __Set up a confirmation email__. This way, parents have all the essential information for their appointments in one place - __Set up an online appointment booking system__. You optimise appointment scheduling. If possible, choose a system that automates emails and SMS messages as soon as an appointment is booked online to reduce the workload in your practice. ### Medium-term measures (1 to 3 months) - __Develop informational material about the value of preventive paediatric medicine.__ Informed parents who bring their children for regular check-ups reduce the risk of having to go to emergency care and lengthen waiting times. To do this, you can in particular __make use of displays__ in your waiting room. - __Set up a reminder system to contact families proactively when the next preventive check-up is due. Combined with the measures in the previous section, this will help you retain parents while reducing no-shows.__  #### Our tools to reduce no-shows in paediatrics | | | |-------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------| |  [Online booking](https://info.onedoc.ch/en/hub/online-booking/) |  [Online profile](https://info.onedoc.ch/en/hub/onedoc-profile/) | |  [Confirmation email](https://info.onedoc.ch/en/hub/confirmation-email/) |  [SMS reminders](https://info.onedoc.ch/en/hub/sms-reminders/) | [Book a demo](https://info.onedoc.ch) ## Tools for managing no-shows in medical practices ### Digital solutions for your practice management Modern practice management systems include features for no-show prevention. __Leading providers of [medical software](https://info.onedoc.ch/en/connectors/) in Switzerland__ sometimes offer automatic reminders with personalisation, comprehensive reporting on no-show rates, and intelligent waiting list management. __SMS services allow text messages to be sent in compliance with the revised FADP__ (typically CHF 0.05 to 0.15 per SMS). Patient portal solutions such as OneDoc also allow SMS messages to be sent free of charge. ### Selection criteria Practice size and budget form the basis for choosing the right tool. __Technical integration options are critical__: can data from your existing software be imported? Is the platform easy for the team to use? __Swiss data protection compliance is non-negotiable__. Check whether the software provider complies with Swiss standards. ## No-show management: best practices ### Training and internal processes The first contact influences how parents perceive commitment. __Empathetic communication starts with active listening__ and a clear explanation of the importance of the appointment without using a moralising tone. Train your team to handle cancellations with understanding and encourage parents to cancel early. __Define clear responsibilities__: who is responsible for daily reminders, weekly reviews and patient follow-up? ### Communication after a no-show __Contact parents quickly, ideally the same day or the next day__. The tone should not be accusatory: “Where were you? We were expecting you?” Instead, ask about the reasons and proactively offer a new appointment. Emphasise the importance of continuing treatment, especially for children with chronic illnesses. ## Legal and ethical considerations in Switzerland ### Data protection in reminder systems The revised Swiss Data Protection Act (revFADP) imposes strict requirements for the processing of health data. Secure data processing requires technical measures. __Email reminders should be sent in encrypted form, and SMS services should operate through secure connections__. ### Financial consequences In Switzerland, in theory, you cannot bill for a service that did not take place. However, compensation may be possible if the cancellation is made at an “inopportune time”, for example if the slot could not be reassigned and you suffer a real loss. In that case, you must prove it in order to obtain compensation. Alternative approaches are more effective: __positive incentives such as reminder systems and excellent service reduce no-shows more sustainably__. ## Measuring success: checking how effective your measures are ### Key indicators __The baseline no-show rate is calculated as the number of no-shows divided by the total number of scheduled appointments__. An average Swiss paediatric practice typically has a rate of between 5 and 15 per cent. Breaking the data down by appointment type provides more valuable insights: record routine preventive check-ups, follow-up appointments, urgent consultations and vaccination appointments separately. __Analyse no-show rates by weekday, time of day and season__ to identify patterns and avoid them in the future. __Depending on the number of no-shows, investing in an appointment system can prove worthwhile__: for example, if an SMS service costs CHF 100 per month but prevents 24 no-shows at CHF 100 loss each, you gain 2,300 (24×100 – 100). ### Towards more reliable and better organised paediatrics Reducing no-shows in paediatrics is not about a single measure, but about a comprehensive approach that combines proactive communication, digitised processes, clear policies and efficient internal organisation. Beyond the financial impact, __every kept appointment strengthens continuity of medical follow-up__, prevention and the relationship of trust with families. Investing in suitable tools and structured processes is therefore not only an economic decision, __but a commitment to sustainable paediatric care__ that is efficient and centred on the child. ###  [Reduce the workload of your paediatric practice with OneDoc Pro solutions](#) ## Sources - [Current practice of transitional care for adolescents and young adults with chronic conditions in Switzerland](https://www.smw.ch/index.php/smw/article/download/3104/5174?inline=1) - [Updated recommendations for routine neurodevelopmental follow-up of high-risk newborns in Switzerland](https://cdn.paediatrieschweiz.ch/production/uploads/2025/04/Richtlinien_FollowUP_ENG_20252003.pdf) - [La participation des patients dans le système de santé suisse : enjeux et perspectives](https://iris.unil.ch/bitstreams/1042fc60-ab6f-4b81-ab11-52606075b2e5/download) - [Quality monitoring and public reporting: Recommendations for the Swiss healthcare system](https://med.unisg.ch/fileadmin/user_upload/HSG_ROOT/Institut_MED/Quality_Monitoring_and_Public_Reporting_Recommendations_for_the_Swiss_Healthcare_System.pdf) - [Handbook for supporting the development of health system performance assessment frameworks](https://www.swisstph.ch/fileadmin/user_upload/WHOHSG_Handbook_v04.pdf) - [Synthesis working paper: Patient participation](https://www.nfp74.ch/SiteCollectionDocuments/nfp74-synthesis-working-paper-patient-participation.pdf) - [Nurses’ and physicians’ reported difficulties and enablers in interprofessional collaboration in Swiss primary care](https://smw.ch/index.php/smw/article/view/3343/5695) - [Staying healthy through school (6th edition)](https://media.bs.ch/original_file/defcc6e121a8afd272500178afc7187582c0420b/broschuere-gesund-schule-en-23-6-aufls.pdf) - [Transition from pediatric to adult follow-up care in adolescents with chronic conditions: A Swiss survey](https://boris-portal.unibe.ch/bitstreams/182e79a4-76a7-476d-96e4-6075467065e1/download) - [Patients’ time perception in the waiting room of an ambulatory emergency unit: A cross-sectional study](https://access.archive-ouverte.unige.ch/access/metadata/cf7bbd08-2135-408a-8912-9ba6bca277aa/download) [](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Finfo.onedoc.ch%2Fen%2Fblog%2Fpediatricians%2Fno-shows-pediatrics-strategies%2F "Share on Facebook")[](https://x.com/intent/post?url=https%3A%2F%2Finfo.onedoc.ch%2Fen%2Fblog%2Fpediatricians%2Fno-shows-pediatrics-strategies%2F "Share on X")[](https://www.linkedin.com/shareArticle?mini=true&url=https%3A%2F%2Finfo.onedoc.ch%2Fen%2Fblog%2Fpediatricians%2Fno-shows-pediatrics-strategies%2F "Share on LinkedIn") ##### About OneDoc - 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[OneDoc Invoice](https://info.onedoc.ch/en/invoice/) - [Tarif 590](https://info.onedoc.ch/en/invoice/tarif-590/) - [Physio Tarif](https://info.onedoc.ch/en/invoice/physio-tarif/) - [PsyTarif (581/582)](https://info.onedoc.ch/en/invoice/psytarif/) - [SDH Tarif](https://info.onedoc.ch/en/invoice/tarif-sdh/) - [QR-bill](https://info.onedoc.ch/en/invoice/qr-bills/) - [Payment reminders](https://info.onedoc.ch/en/invoice/payment-reminders/) - [Automatic payment reconciliation](https://info.onedoc.ch/en/invoice/automatic-payment-reconciliation/) - [VAT return](https://info.onedoc.ch/en/invoice/vat-return/) - [Secure invoice transmission to the patient (TG)](https://info.onedoc.ch/en/invoice/third-party-guarantor/) - [Invoice transmission to the insurance (TP)](https://info.onedoc.ch/en/invoice/third-party-payment/) - [Year-end closing](https://info.onedoc.ch/en/invoice/year-end-closing/) - [Covercard](https://info.onedoc.ch/en/invoice/covercard/) - [Emma, your virtual phone assistant](https://info.onedoc.ch/en/emma-phone-assistant/) - [OneDoc Inbox](https://info.onedoc.ch/en/inbox/) - [OneDoc Link](https://info.onedoc.ch/en/link/) - [OneDoc Visio](https://info.onedoc.ch/en/visio/) - [Teleconsultation badge](https://info.onedoc.ch/en/visio/teleconsultation-badge/) - [Teleconsultation Module](https://info.onedoc.ch/en/visio/teleconsultation-module/) - [Screen sharing](https://info.onedoc.ch/en/visio/screen-sharing/) - [Professional background for teleconsultation](https://info.onedoc.ch/en/visio/background-teleconsultation/) - [Audio and Video settings](https://info.onedoc.ch/en/visio/audio-video-setting/) ##### Use case - [Create and manage your invoices with OneDoc Invoice](https://info.onedoc.ch/en/needs/create-compliant-invoices/) - [Retain your patients with a smooth and convenient digital experience](https://info.onedoc.ch/en/needs/retain-your-patients/) - [Increase the visibility of your practice](https://info.onedoc.ch/en/needs/increase-visibility/) - [Get more new patients](https://info.onedoc.ch/en/needs/get-new-patients/) - [Manage care protocols easily](https://info.onedoc.ch/en/needs/manage-care-protocols/) - [Keep your patients within your network](https://info.onedoc.ch/en/needs/keep-patients-network/) - [Easily refer your patients to specialists in your network](https://info.onedoc.ch/en/needs/refer-your-patients/) - [Receive qualified referrals from trusted colleagues](https://info.onedoc.ch/en/needs/receive-qualified-referrals/) - [Limit the number of no-shows](https://info.onedoc.ch/en/needs/reduce-no-shows/) - [Handle more patient requests](https://info.onedoc.ch/en/needs/handle-more-patient-requests/) - [Reduce the number of incoming calls](https://info.onedoc.ch/en/needs/reduce-incoming-calls/) - [Stay connected with your patients](https://info.onedoc.ch/en/needs/stay-connected-with-patients/) - [Automate the follow-up of your existing patients](https://info.onedoc.ch/en/needs/automate-follow-up-existing-patients/) ##### Our solutions by specialty - [General practitioner](https://info.onedoc.ch/en/specialty/general-practitioner/) - [Specialist](https://info.onedoc.ch/en/specialty/specialist/) - [Dentist](https://info.onedoc.ch/en/specialty/dentist/) - [Dental hygienist](https://info.onedoc.ch/en/specialty/dental-hygienist/) - [Physiotherapist](https://info.onedoc.ch/en/specialty/physiotherapist/) - [Therapist](https://info.onedoc.ch/en/specialty/therapist/) - [Psychologist](https://info.onedoc.ch/en/specialty/psychologist/) - [Psychotherapists](https://info.onedoc.ch/en/specialty/psychotherapists/) - [Ophthalmologist](https://info.onedoc.ch/en/specialty/ophthalmologist/) - [Dermatologist](https://info.onedoc.ch/en/specialty/dermatologist/) - [Pediatrician](https://info.onedoc.ch/en/specialty/pediatrician/) - [Gynecologists](https://info.onedoc.ch/en/specialty/gynecologists/) ##### Our solutions by type of medical facility - [Medical center](https://info.onedoc.ch/en/specialty/medical-center/) - [Hospital](https://info.onedoc.ch/en/specialty/hospital/) - [Pharmacy](https://info.onedoc.ch/en/specialty/pharmacy/) - [Imaging center](https://info.onedoc.ch/en/specialty/imaging-center/) - [Medical laboratory](https://info.onedoc.ch/en/specialty/medical-laboratory/) - [Hearing care professional](https://info.onedoc.ch/en/specialty/hearing-care-professionals/) - [Optician](https://info.onedoc.ch/en/specialty/optician/) ##### Resources - [Blog](https://info.onedoc.ch/en/blog/) - [Media](https://info.onedoc.ch/en/media/) - [ROI Calculator](https://info.onedoc.ch/en/profitability-calculator/) - [Online visibility audit](https://info.onedoc.ch/en/online-visibility-audit/) - [Patient Journey Scan](https://info.onedoc.ch/en/patient-journey-scan/) ##### Our latest articles - [No-shows in pediatrics: strategies and measures applicable to pediatric practices in Switzerland](https://info.onedoc.ch/en/blog/pediatricians/no-shows-pediatrics-strategies/) - [Fake news in paediatrics – Prevention between self-diagnosis and medical advice](https://info.onedoc.ch/en/blog/pediatricians/fake-news-in-paediatrics/) - [Shortage of paediatricians in Switzerland: strategies for paediatricians facing growing patient demand](https://info.onedoc.ch/en/blog/pediatricians/shortage-paediatricians-switzerland/) - [How to design a waiting room in a medical practice?](https://info.onedoc.ch/en/blog/all-specialties/waiting-room-medical-practice/) - [How to manage emergencies in your dermatology practice and keep your schedule under control](https://info.onedoc.ch/en/blog/dermatologists/manage-dermatology-emergencies/) - [AI in medicine: applications, advantages and disadvantages for doctors in Switzerland](https://info.onedoc.ch/en/blog/all-specialties/ai-in-medicine-switzerland/) - [Update to Tarif 590 in 2026: what’s changing?](https://info.onedoc.ch/en/blog/therapists/update-tarif-590-2026/) - [Digitalization in dermatology: where do Swiss practices really stand?](https://info.onedoc.ch/en/blog/dermatologists/digitalization-dermatology-switzerland/) © 2026 OneDoc SA - Made with  in Switzerland Close Fermer Fermer