No-Show to Primary Care Appointments
No-Show to Primary Care Appointments
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未到初级保健预约
DOI：
--
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发表时间：
2013
影响因子：
3.6
通讯作者：
Sanja Percac
中科院分区：
文献类型：
--
作者：
Emma Kaplan;Sanja Percac
背景：错过初级保健预约会导致疾病控制不佳并随后就诊。在为服务不足的人群提供护理的诊所中，缺席率较高，可能会导致该群体的健康状况较差。本研究的目的是确定哪些患者没有去初级保健预约以及他们没有去的原因。方法：在一家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。双语（英语和西班牙语）患者服务协调员会致电 18 岁以上未在 5 个月内赴初级保健预约的成年患者。患者报告的缺席原因已被记录。使用比例的双边 t 检验来比较按预约就诊的患者与未按预约就诊的患者的人口统计特征。结果：在 7508 次预约中，5604 次纳入分析，927 次（16.5%）未出现。共向错过预约的患者拨打了 735 通电话（79%），并接通了 273 通电话（37%）。错过预约的 2 个最常见原因是忘记（n = 97，35.5%）和沟通不畅（n = 86，31.5%）。与前来就诊的患者相比，未到场的患者更年轻 (P < .0001)，更有可能是黑人 (P = .0423) 或西班牙裔 (P = .0001)，并且拥有医疗补助 (P < .0001)。结论：缺席率影响初级保健质量。需要针对缺席原因采取干预措施，以帮助降低缺席率、改善就诊机会并减少服务不足的患者群体的健康差距。
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 < .0001), more likely to be black (P = .0423) or Hispanic (P = .0001), and to have Medicaid (P < .0001). Conclusions: No-show rates interfere with quality primary care. Interventions designed to target reasons for no-show are needed to help reduce the no-show rate, improve access and decrease health disparities in underserved patient populations.
在美国城市艾滋病毒诊所推荐妇科护理的障碍。
DOI：
10.1089/jwh.2009.1670
发表时间：
2010
期刊：
Journal of women's health (2002)
影响因子：
--
作者：
Tello,MoniqueA;Jenckes,Mollie;Gaver,Jennifer;Anderson,JeanR;Moore,RichardD;Chander,Geetanjali
通讯作者：
Chander,Geetanjali
DOI：
10.1086/595705
发表时间：
2009-01-15
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Mugavero MJ;Lin HY;Willig JH;Westfall AO;Ulett KB;Routman JS;Abroms S;Raper JL;Saag MS;Allison JJ
通讯作者：
Allison JJ