No-Show to Primary Care Appointments: Why Patients Do Not Come
No-Show to Primary Care Appointments: Why Patients Do Not Come
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DOI：
10.1177/2150131913498513
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发表时间：
2013-10-01
影响因子：
3.6
通讯作者：
Percac-Lima, Sanja
中科院分区：
文献类型：
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作者：
Kaplan-Lewis, Emma;Percac-Lima, Sanja
背景：错过初级保健预约会导致疾病控制不佳，后来出现护理。在照顾服务不足人群的诊所中，未出现率较高，可能导致这一群体的健康状况较差。这项研究的目的是确定谁是病人不显示的初级保健预约和他们的原因不显示。方法：在一个社区卫生中心进行了一项回顾性研究，该中心主要为拉丁裔、移民、低收入人群提供服务。由双语（英语和西班牙语）患者服务协调员呼叫在5个月期间未出现初级保健预约的>18岁成人患者。记录患者报告的错过预约的原因。使用比例的双侧t检验来比较显示其预约的患者与未显示的患者的人口统计学特征。结果：在7508次预约中，5604次被纳入分析，927次（16.5%）未出现。有735（79%）个电话打给了错过预约的患者，273（37%）个电话接通了。错过约会的2个最常见的原因是忘记（n = 97，35.5%）和沟通失误（n = 86，31.5%）。与前来就诊的患者相比，未就诊的患者更年轻（P
Background: Missed primary care appointments lead to poor disease control and later presentation to care. No-show rates are higher in clinics caring for underserved populations and may contribute to poorer health outcomes in this group. The objective of this study was to determine who were the patients not showing to primary care appointments and their reasons to no-show. Methods: A retrospective study was conducted at a community health center serving a predominantly Latino, immigrant, low-income population. Adult patients >18 years old who did not show to primary care appointments during a 5-month period were called by a bilingual (English and Spanish) patient service coordinator. The patients' reported reason for missing the appointment was documented. Two-sided t test of proportions was used to compare demographic characteristics of the patients that showed to their appointments to patients that did not. Results: Of 7508 scheduled appointments, 5604 were included in the analysis and 927 (16.5%) no-showed. There were 735 (79%) calls made to the patients who missed their appointments and 273 (37%) were reached. The 2 most common reasons for missing an appointment were forgetting (n = 97, 35.5%) and miscommunication (n = 86, 31.5%). When compared with patients who came to their appointments, patients who no-showed were younger (P