SMS text messaging improves outpatient attendance.

SMS text messaging improves outpatient attendance.
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SMS 短信提高了门诊就诊率。

DOI：
10.1071/ah060389
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发表时间：
2006
期刊：
Australian health review : a publication of the Australian Hospital Association
影响因子：
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通讯作者：
Kannan Sethuraman
Kannan Sethuraman
中科院分区：
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文献类型：
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作者：
Sean R Downer;J. Meara;Annette C Da Costa;Kannan Sethuraman

文献摘要

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客观化 目的：评估向预约门诊患者的手机发送短信提醒的运营和财务效果。 设计 采用历史对照的队列研究。 设置 皇家儿童医院，墨尔本，维多利亚。 病人 提供移动电话联系号码并计划于2004年10月、11月和12月前往墨尔本皇家儿童医院门诊的患者(试验组)或2003年10月、11月和12月前往墨尔本皇家儿童医院门诊的患者(历史对照组)。 主要结果衡量标准 试验组和历史对照组之间的失席率进行了比较，试验组的成员收到了提醒，而历史对照组的成员没有收到提醒。财务收益与发送提醒的成本。 结果 计划在2004年10月、11月和12月使用移动电话联系号码的22658名患者收到短信提醒，其中20448人(90.2%)参加了他们的预约。对照组包括22,452名计划参加预约的移动电话联系号码的患者，其中18,073名患者(80.5%)参加。试验组失败率显著低于历史对照组(9.8%vs19.5%；P&lt；0.001)。与改善出诊带来的患者收入和相关利益的增加相比，发送短信提醒的成本很小。 结论 观察到的FTA比率的下降与使用传统提醒方法和先前使用短信进行的试点研究发现的结果一致。FTA的减少和患者收入的增加表明，提醒患者使用短信是一种非常经济高效的方法，可以改善患者的就诊情况。
OBJECTIVE To evaluate the operational and financial efficacy of sending short message service (SMS) text message reminders to the mobile telephones of patients with scheduled outpatient clinic appointments. DESIGN Cohort study with historical control. SETTING Royal Children's Hospital, Melbourne, Victoria. PATIENTS Patients who gave a mobile telephone contact number and were scheduled to attend an outpatient clinic at the Royal Children's Hospital, Melbourne in October, November and December 2004 (trial group) or in October, November and December 2003 (historical control group). MAIN OUTCOME MEASURES Failure-to-attend (FTA) rate compared between the trial group, whose members were sent a reminder, and the historical control group, whose members were not sent a reminder. Financial benefits versus cost of sending reminders. RESULTS 22,658 patients with a mobile telephone contact number scheduled to attend an outpatient clinic appointment in October, November and December 2004 were sent an SMS reminder; 20,448 (90.2%) of these patients attended their appointment. The control group included 22,452 patients with a mobile telephone contact number scheduled to attend an appointment, with 18,073 (80.5%) patients attending. The FTA rate was significantly lower in the trial group than in the historical control group (9.8% v 19.5%; P < 0.001). The cost of sending the SMS reminders was small compared with the increase in patient revenue and associated benefits generated as a result of improved attendance. CONCLUSIONS The observed reduction in FTA rate was in line with that found using traditional reminder methods and a prior pilot study using SMS. The FTA reduction coupled with the increase in patient revenue suggests that reminding patients using SMS is a very cost effective approach for improving patient attendance.