Missed appointment rates in primary care: The importance of site of care
Missed appointment rates in primary care: The importance of site of care
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DOI：
10.1353/hpu.2005.0054
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发表时间：
2005-08-01
影响因子：
1.4
通讯作者：
Bor, DH
中科院分区：
文献类型：
--
作者：
Lasser, KE;Mintzer, IL;Bor, DH
目的是确定初级保健提供者（PCP）和患者之间的种族，语言或性别一致性是否与社区卫生中心的漏诊率较低相关。另一个目的是确定护理地点是否是错过预约率的决定因素。在对13,882名患者的74,120次随访的分析中，语言、种族或性别与PCP一致的患者错过预约的优势比为0.90（95%可信区间[CI]，0.81-0.99）、0.84（95%CI，0.79-0.90）和1.01（95%CI，0.95-1.07）。错过预约的优势比变化近三倍，这取决于特定的护理地点。患者和PCP之间的种族和语言一致性对错过预约率只有适度的影响。在这个样本中，在特定的社区卫生中心接受初级保健服务是错过预约率的最强预测因素。
The objective was to determine whether race, language, or gender concordance between primary care providers (PCPs) and patients is associated with lower missed appointment rates in neighborhood health centers. An additional objective was to determine whether site of care is a determinant of missed appointment rates. In analyses of 74,120 follow-up visits by 13,882 patients, odds ratios for missing an appointment for patients who had language, race or gender concordance with their PCP were 0.90 (95% confidence interval [CI], 0.81-0.99),0.84 (95% CI, 0.79-0.90) and 1.01 (95% CI, 0.95-1.07) respectively, after adjustment for age, insurance, language, individual PCP open access, sessions per week PCP in practice, and health center. Odds ratios for missing an appointment varied nearly three-fold, depending upon the particular site of care. Race and language concordance between patients and PCPs has only a modest effect on missed appointment rates. Receipt of primary care services at specific neighborhood health centers was the strongest predictor of missed appointment rates in this sample.