Steiner E, Alexander E, Höfer C, Schaffer K
Kuratorium für Psychosoziale Dienste, Wien, Germany.
Psychiatr Prax. 2001 Sep;28(6):278-83. doi: 10.1055/s-2001-16879.
We present an observational study on the efficacy of an individualized treatment schedule, which is meant to support treatment adherence in an urban community mental health center (CMHC).
The present investigation was carried out in the natural setting of a CMHC in Vienna. During a 3-month period we observed the compliance with the appointments and the actions taken by the team in response to missed appointments as well as the utilization of the CMHC during a follow-up period of 6 months.
During the observation period 393 (19,2 %) of 2049 scheduled visits were missed affecting more than half of the patients. Only a minority of patients with low-intensity treatment and a high rate of missed appointments had a high risk for discontinuing treatment.
Missed appointments in outpatient psychiatric care are a common phenomenon but they constitute no major threat to the continuity of care for the majority of the patients due to the graduated efforts of the team. The time required to make up for missed appointments is considerable but the results of the follow-up confirmed the beneficial effects on utilization of psychiatric care.
我们开展了一项关于个体化治疗方案疗效的观察性研究，该方案旨在支持城市社区心理健康中心（CMHC）的治疗依从性。
本调查在维也纳一家社区心理健康中心的自然环境中进行。在3个月的时间里，我们观察了预约的遵守情况、团队针对错过预约采取的行动，以及在6个月的随访期内社区心理健康中心的利用情况。
在观察期内，2049次预约就诊中有393次（19.2%）被错过，影响了超过一半的患者。只有少数接受低强度治疗且错过预约率高的患者有中断治疗的高风险。
门诊精神科护理中的预约失约是一种常见现象，但由于团队的逐步努力，对大多数患者的护理连续性不构成重大威胁。弥补错过预约所需的时间相当可观，但随访结果证实了对精神科护理利用的有益影响。
