Hochstadt N J, Trybula J
J Community Psychol. 1980 Jul;8(3):261-5. doi: 10.1002/1520-6629(198007)8:3<261::aid-jcop2290080311>3.0.co;2-n.
Budget cutbacks and cost accountability are currently key issues for community mental health centers. Consequently, maximizing the available resources is important to the staff and to the community. Clients who fail to attend the initial appointment represent a significant loss of staff time and resources. Many studies have looked at variables related to missed initial appointments. However, the current study looked at means of reducing missed initial appointments. Eighty-eight subjects were assigned to one of four groups. Group A received a letter three days prior to initial appointment; Group B received a telephone call three days prior to initial appointment; Group C received a telephone call one day prior to initial appointment; Group D was a non-intervention control. The results showed a significant reduction in the rate of missed initial appointments in the group receiving a telephone call one day prior to the initial appointment. This group had a 9% nonattendance rate. Groups receiving either a letter or telephone call three days prior to the initial appointment had a 32% nonattendance rate. The nonintervention control group had a 55% nonattendance rate. The effectiveness of these interventions in reducing the nonattendance rate and thereby enhancing the resources of CMHCs was discussed. Unexpected effects of the study upon the homeostasis of the CMHC were looked at as well as other areas of application.
预算削减和成本问责制是目前社区心理健康中心的关键问题。因此，最大限度地利用现有资源对工作人员和社区都很重要。未能参加初次预约的客户会造成工作人员时间和资源的重大损失。许多研究都探讨了与错过初次预约相关的变量。然而，当前的研究着眼于减少错过初次预约的方法。88名受试者被分配到四个组中的一组。A组在初次预约前三天收到一封信；B组在初次预约前三天接到一个电话；C组在初次预约前一天接到一个电话；D组为非干预对照组。结果显示，在初次预约前一天接到电话的组中，错过初次预约的比率显著降低。该组的缺勤率为9%。在初次预约前三天收到信件或接到电话的组的缺勤率为32%。非干预对照组的缺勤率为55%。讨论了这些干预措施在降低缺勤率从而增加社区心理健康中心资源方面的有效性。研究对社区心理健康中心平衡状态的意外影响以及其他应用领域也进行了探讨。
