The use of text messaging to improve attendance in primary care: a randomized controlled trial
The use of text messaging to improve attendance in primary care: a randomized controlled trial
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DOI：
10.1093/fampra/cml044
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发表时间：
2006-12-01
期刊：
影响因子：
2.2
通讯作者：
Teng, Cheong Lieng
中科院分区：
文献类型：
--
作者：
Leong, Kwok Chi;Chen, Wei Seng;Teng, Cheong Lieng
背景不出席是常见的初级保健和以前的研究报告说，提醒是有用的，在减少破碎的牙齿。确定短信提醒在提高初级保健出勤率方面的有效性。多中心三组随机对照试验。马来西亚的七个初级保健诊所。从招募之日起48小时至3个月内需要在诊所进行随访的患者（或其护理人员）。两个干预组包括预约前24-48小时的短信和移动的电话提醒。对照组不接受任何干预。干预的出勤率和成本。共有993名参与者有资格进行分析。对照组、短信组和移动的电话提醒组的出勤率分别为48.1%、59.0%和59.6%。短信提醒组的出勤率明显高于对照组（比值比1.59，95%可信区间1.17 ~ 2.17，P = 0.005）。短信提醒组和移动的电话提醒组的出勤率没有统计学上的显著差异。短信提醒的成本（RM 0.45/次）低于移动的电话提醒（RM 0.82/次）。短信提醒系统在提高基层医疗就诊率方面是有效的。比起移动的电话提醒，性价比更高。
Background. Non-attendance is common in primary care and previous studies have reported that reminders were useful in reducing broken appointments.Objective. To determine the effectiveness of a text messaging reminder in improving attendance in primary care.Design. Multicentre three-arm randomized controlled trial.Setting. Seven primary care clinics in Malaysia.Participants. Patients (or their caregivers) who required follow-up at the clinics between 48 hours and 3 months from the recruitment date.Interventions. Two intervention arms consisted of text messaging and mobile phone reminders 24-48 hours prior to scheduled appointments. Control group did not receive any intervention.Outcome measures. Attendance rates and costs of interventions.Results. A total of 993 participants were eligible for analysis. Attendance rates of control, text messaging and mobile phone reminder groups were 48.1, 59.0 and 59.6%, respectively. The attendance rate of the text messaging reminder group was significantly higher compared with that of the control group (odds ratio 1.59, 95% confidence interval 1.17 to 2.17, P = 0.005). There was no statistically significant difference in attendance rates between text messaging and mobile phone reminder groups. The cost of text messaging reminder (RM 0.45 per attendance) was lower than mobile phone reminder (RM 0.82 per attendance).Conclusions. Text messaging reminder system was effective in improving attendance rate in primary care. It was more cost-effective compared with the mobile phone reminder.