Campbell J D, Chez R A, Queen T, Barcelo A, Patron E
Department of Obstetrics and Gynecology, University of South Florida, Tampa, USA.
J Womens Health Gend Based Med. 2000 Oct;9(8):891-5. doi: 10.1089/152460900750020928.
We wished to determine the reasons for an average missed appointment rate of 28% in a high-risk pregnancy clinic. Only 41% of the 261 women in the study group could be reached by telephone. The reasons included not having a phone, the phone had been disconnected, incorrect phone number on the chart, the patient had moved, and the patient did not respond to the answering machine message. The reasons for missing the appointment included lack of transportation, scheduling problems, overslept or forgot, presence of a sick child or relative, and lack of child care. The response of patients to assessing prenatal care may reflect their priority of medical care relative to other priorities associated with day-to-day existence. There may be a baseline missed appointment rate for prenatal care in lower socioeconomic populations of women. The commitment of personnel time and energy to attempt to modify the no-show rate should be reexamined.
我们希望确定高危妊娠诊所平均28%的预约失约率的原因。在研究组的261名女性中，只有41%能通过电话联系上。原因包括没有电话、电话已停机、病历上的电话号码错误、患者已搬家以及患者未回复答录机留言。错过预约的原因包括交通不便、日程安排问题、睡过头或忘记、有生病的孩子或亲属以及缺乏儿童照料。患者对产前护理评估的反应可能反映出他们相对于与日常生活相关的其他优先事项而言对医疗护理的重视程度。社会经济地位较低的女性群体在产前护理方面可能存在一个基线预约失约率。应该重新审视投入人力时间和精力来试图改变未到诊率的做法。
