Factors contributing to patient nonattendance at open-access endoscopy
Factors contributing to patient nonattendance at open-access endoscopy
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DOI：
10.1007/s10620-006-9215-0
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发表时间：
2006-11-01
影响因子：
3.1
通讯作者：
Leighton, Jonathan A.
中科院分区：
文献类型：
--
作者：
Gurudu, Suryakanth R.;Fry, Lucia C.;Leighton, Jonathan A.
患者错过内窥镜检查预约导致医疗资源利用效率低下。由于全国缺勤率高达27%，且缺勤原因没有得到很好的研究，我们试图量化我们三级医疗机构的缺勤情况。我们对机构数据库进行了回顾性记录审查，以确定2000年1月至2003年12月期间未参加预定内窥镜检查预约的患者。不出席被定义为在约定的当天不出席或取消约会。在我们的机构，病人护理助理联系这些病人，在数据库中记录他们的原因。在36480名预约门诊内窥镜检查的患者中，1490名（4.1%）没有出现，因为与设施相关（44.3%，如安排错误）或与患者相关（55.7%，如未取消、疾病或住院）的原因。我们在4年内4.1%的不出勤率明显低于其他内窥镜中心的报告。
Patients who miss endoscopy appointments cause inefficient utilization of medical resources. Because national nonattendance rates are as high as 27% and reasons for nonattendance have not been well studied, we sought to quantitate nonattendance at our tertiary care institution. We conducted a retrospective records review of the institutional database to identify patients who did not attend a scheduled endoscopy appointment between January 2000 and December 2003. Nonattendance was defined as either not showing up for an appointment or canceling it on the day it was scheduled. At our institution, patient care assistants contact such patients to document their reasons in the database. Of 36,480 patients scheduled for outpatient endoscopy, 1,490 (4.1%) did not show up because of either facility-related (44.3%; e.g., scheduling errors) or patient-related (55.7%; e.g., noncancellation, illness, or hospitalization) reasons. Our 4.1% nonattendance rate over 4 years is considerably lower than that reported by other endoscopy centers.