The Effectiveness of Using MySMS in Reducing No-show Rate in Dietetic Clinic, Hospital Sultan Ismail, Johor Bahru

No-show or non-attendance at outpatient appointments are one of the most challenging operational issues in health care clinics, including dietetics clinics. has a negative impact on efficiency and effectiveness delivery hospital setting. This can negatively affect patient’s short term long-term well-being to due missed opportunity address nutrition issue timely manner. study aims investigate reasons for no-show thus reduce rate diet clinic less than 25%. The initial phase was conducted from June September 2017 Hospital Sultan Ismail’s clinic. cases were identified using system data. patients guardian contacted record reason missing appointments. Descriptive analysis used analyze results. Strategy change planned implemented target major no-show. pre-remedial result shows 40.7%. 102 (34%, n=102) identify their Paediatric aged >1 12 years contributed highest percentage (37.3%, n=38). forgetting remembered wrong appointment date (35.3%, n=36), followed by ill admitted ward (13.7%, n=14) others (12.7%, n=13) such as personal school examination. Remedial measure Short Message Service (MySMS) resulted reduction 22.2% which achieved our standard 25% (p<0.05). Automated reminder is found be effective reducing rate. Periodic audit needed ensure continuous remedial measure. Further studies need weighing cost this method long run.