Text-messaging versus telephone reminders to reduce missed appointments in an academic primary care clinic: a randomized controlled trial.
Text-messaging versus telephone reminders to reduce missed appointments in an academic primary care clinic: a randomized controlled trial.
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DOI：
10.1186/1472-6963-13-125
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发表时间：
2013-04-04
影响因子：
2.8
通讯作者：
Gaspoz JM
中科院分区：
文献类型：
--
作者：
Junod Perron N;Dao MD;Righini NC;Humair JP;Broers B;Narring F;Haller DM;Gaspoz JM
在不同的医疗环境中，电话或短信提醒已被证明可以显著降低失约率。由于短信对资源的要求更低，我们测试了一个假设，即短信提醒在学术初级保健诊所中与电话提醒一样有效。2010年11月至2011年4月，在日内瓦大学医院的学术初级保健科进行了一项随机对照非劣效性试验。在诊所登记预约并有手机号码的患者被随机选中，在计划预约前24小时收到短信或电话提醒。患者每次预约时都被包括在内。主要结果是无法解释的失约率。如果在干预之前或独立于干预之外取消或重新安排预约，则不会错过预约。我们将非劣效性定义为错过预约率低于2%的差异，并据此为研究提供动力。随机抽取900例患者进行满意度调查（有效率41%）。6450名患者被纳入研究，其中短信组3285名，电话组3165名。错过约会的比率在短信组（11.7%,95% CI: 10.6-12.8）和电话组（10.2%,95% CI: 9.2-11.3 p = 0.07）相似。然而，只有短信提醒才是划算的。在满意度调查中，没有患者报告受到任何类型的提醒。四分之三的受访患者建议在诊所定期实施。短信提醒在减少学术初级保健诊所错过预约的比例方面相当于电话提醒，而且更具成本效益。这两种提醒方式都被患者所接受。
Telephone or text-message reminders have been shown to significantly reduce the rate of missed appointments in different medical settings. Since text-messaging is less resource-demanding, we tested the hypothesis that text-message reminders would be as effective as telephone reminders in an academic primary care clinic. A randomized controlled non-inferiority trial was conducted in the academic primary care division of the Geneva University Hospitals between November 2010 and April 2011. Patients registered for an appointment at the clinic, and for whom a cell phone number was available, were randomly selected to receive a text-message or a telephone call reminder 24 hours before the planned appointment. Patients were included each time they had an appointment. The main outcome was the rate of unexplained missed appointments. Appointments were not missed if they were cancelled or re-scheduled before or independently from the intervention. We defined non-inferiority as a difference below 2% in the rate of missed appointments and powered the study accordingly. A satisfaction survey was conducted among a random sample of 900 patients (response rate 41%). 6450 patients were included, 3285 in the text-message group and 3165 in the telephone group. The rate of missed appointments was similar in the text-message group (11.7%, 95% CI: 10.6-12.8) and in the telephone group (10.2%, 95% CI: 9.2-11.3 p = 0.07). However, only text message reminders were cost-effective. No patient reported any disturbance by any type of reminder in the satisfaction survey. Three quarters of surveyed patients recommended its regular implementation in the clinic. Text-message reminders are equivalent to telephone reminders in reducing the proportion of missed appointments in an academic primary care clinic and are more cost-effective. Both types of reminders are well accepted by patients.
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影响因子：
3.8
作者：
Sims, Hannah;Sanghara, Harpreet;Kravariti, Eugenia
通讯作者：
Kravariti, Eugenia
影响因子：
3.3
作者：
Labhardt, Niklaus D.;Balo, Jean-Richard;Stoll, Beat
通讯作者：
Stoll, Beat
影响因子：
5.9
作者：
Schmalzried, Hans D.;Liszak, Joseph
通讯作者：
Liszak, Joseph
影响因子：
2.2
作者：
Leong, Kwok Chi;Chen, Wei Seng;Teng, Cheong Lieng
通讯作者：
Teng, Cheong Lieng
DOI：
10.1016/j.ajodo.2004.11.014
发表时间：
2005-03-01
影响因子：
3
作者：
Bos, A;Hoogstraten, J;Prahl-Andersen, B
通讯作者：
Prahl-Andersen, B