UNDERSTANDING NONATTENDANCE IN OUTPATIENT PEDIATRIC CLINICS
UNDERSTANDING NONATTENDANCE IN OUTPATIENT PEDIATRIC CLINICS
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DOI：
10.1136/adc.65.2.192
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发表时间：
1990-02-01
影响因子：
5.2
通讯作者：
MCNEISH, AS
中科院分区：
文献类型：
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作者：
ANDREWS, R;MORGAN, JD;MCNEISH, AS
门诊预约往往得不到遵守。对此原因的研究很少，但不参加可能会影响未来的健康。我们的研究是基于一个大型内城区综合医院的儿童门诊部。对34名未能按时就诊的儿童和12名按时就诊的儿童的父母进行了深入访谈，并对医院和附近一个儿童区域转诊中心的预约系统进行了审查。在地区综合医院，23%的首次预约和35%的后续预约没有得到保留。我们发现，父母通常会有意识地决定参加，平衡这样做的优势和劣势。他们对孩子病情严重程度的评估在这方面至关重要。在面谈时，34名未上学的儿童中有21名被评估为仍需上学。其中16人随后继续预约，11人接受进一步调查或治疗。我们的结论是，儿童谁不带来的门诊预约可能是在可避免的健康状况不佳的风险，无论是确保出席门诊诊所或提供替代手段的健康监督是必要的。
Outpatient clinic appointments are often not kept. There has been little study of the reasons for this, but failure to attend may affect future health. Our study was based on the children''s outpatient department of a large inner city district general hospital. The parents of 34 children who had failed to keep appointments and of 12 who did attend were interviewed in depth and the appointment systems of the hospital and of a nearby regional referral center for children were reviewed. At the district general hospital 23% of first appointments and 35% of subsequent appointments were not kept. We found that parents usually made a conscious decision about attending, balancing the perceived advantages and disadvantages of doing so. Their assessment of the severity of the child''s illness was crucial in this. Twenty one of the 34 children who had not attended were assessed at the time of interview as still needing to attend. Of these, 16 subsequently kept an appointment and 11 underwent further investigation or treatment. We conclude that children who are not brought for outpatient appointments may be at risk of avoidable ill health and that ways of either ensuring attendance at outpatient clinics or providing alternative means of health supervision are needed.