Factors associated with noncompliance with psychiatric outpatient visits

Factors associated with noncompliance with psychiatric outpatient visits
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DOI:
10.1176/appi.ps.52.3.378
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发表时间:
2001-03-01
影响因子:
3.8
通讯作者:
Baldessarini, RJ
Baldessarini, RJ
中科院分区:
医学3区
文献类型:
--
作者:
Centorrino, F;Hernán, MA;Baldessarini, RJ

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坚持推荐的服务对于门诊治疗方案的长期有效性至关重要,但与这种坚持相关的因素尚未得到可靠的确定。我们评估了一家大型精神病学教学医院的62名患者的896次定期精神病学门诊就诊情况,发现急性期疾病患者、人格障碍患者、高中后教育患者和独居患者的就诊依从性显著较高。当就诊是常规安排的,当就诊间隔较短,当就诊需要心理治疗而不是药物治疗时,依从性也更高。
Adherence to recommended services is essential for long-term effectiveness of ambulatory treatment programs, hut factors associated with such adherence are not securely established. We evaluated attendance at 896 scheduled psychiatric clinic visits for 62 patients at a major psychiatric teaching hospital, Visit adherence was found to be significantly higher among patients in an acute stage of illness, those with a personality disorder, those with a post-high-school education, and those living alone. Adherence was also higher when visits were routinely scheduled, when the intervisit interval was shorter, and when the visit entailed psychotherapy rather than pharmacotherapy.