Nonattendance at outpatient endoscopy
Nonattendance at outpatient endoscopy
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DOI：
10.1055/s-2004-814329
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发表时间：
2004-05-01
期刊：
影响因子：
9.3
通讯作者：
Forbes, GM
中科院分区：
文献类型：
--
作者：
Adams, LA;Pawlik, J;Forbes, GM
背景和研究目的：不参加门诊内镜检查会导致效率低下和诊断延迟。我们的目的是确定相关因素未能参加门诊胃镜检查和结肠镜检查。患者和方法：我们进行了一项回顾性审计门诊内窥镜检查的缺席超过12个月的时间在我们的三级医院内窥镜单位。同一内窥镜检查列表上的主治患者作为对照。审查了患者病历和转诊信。收集的信息包括转诊来源、转诊与手术之间的时间、手术适应症和类型、缺席原因和既往内镜检查史。审计后的电话提醒试验实施了3个月period.Results：从2157门诊程序，预定，263 nonattendees（12.2%）被确定为261控制。在未参加的患者中，109例（41%）未参加结肠镜检查，121例（46%）未参加胃镜检查，33例（13%）未参加联合手术。星期一是一周中最常见的一天缺席（40%）。未参加者年龄较小（46 +/- 14 vs. 55 +/- 16，P < 0.001），不太可能从胃肠病学家（P < 0.001）或私人诊所（P = 0.02）转诊，更可能从急诊科转诊（P = 0.007）。在此之后，为期3个月的电话提醒减少不出席率从12.2%到9%（P = 0.03）。结论：年轻的患者安排在星期一门诊内窥镜检查谁不是由胃肠病学家或私人医生介绍更有可能不参加。这些患者应成为旨在提高就诊率的干预措施的目标。电话提醒对降低缺课率有一定的作用。
Background and Study Aims: Nonattendance at outpatient endoscopy leads to inefficiency and delay in diagnosis. We aimed to identify factors associated with failure to attend outpatient gastroscopy and colonoscopy.Patients and Methods: We carried out a retrospective audit of nonattendance at outpatient endoscopy over a 12-month period at our tertiary hospital endoscopy unit. Attending patients on the same endoscopy list were used as controls. Patient charts and referral letters were reviewed. The information collected included referral source, time between referral and procedure, indication and type of procedure, reason for nonattendance and history of previous endoscopy. Following the audit a trial of telephone reminders was implemented over a 3-month period.Results: From 2157 outpatient procedures that were scheduled, 263 nonattendees (12.2%) were identified with 261 controls. Of the nonattendees, 109 (41%) did not attend for colonoscopy, 121 (46%) did not attend for gastroscopy and 33 (13%) failed to turn up for combined procedures. Monday was the most common day of the week for nonattendance (40% of nonattenders). Nonattendees were younger (46 +/- 14 vs. 55 +/- 16, P < 0.001), less likely to be referred from a gastroenterologist (P < 0.001) or private practice (P = 0.02) and more likely to be referred from the emergency department (P = 0.007). Subsequent to this, a 3-month period of telephone reminder reduced nonattendance rates from 12.2% to 9% (P = 0.03).Conclusions: Younger patients scheduled for outpatient endoscopy on Mondays who are not referred by a gastroenterologist or private physician are more likely not to attend. These patients should be targeted for interventions designed to increase attendance. Telephone reminders have a modest effect on reducing nonattendance rates.