Mallard Stephen D, Leakeas Terri, Duncan W Jack, Fleenor Michael E, Sinsky Richard J
Clinical Services Department, Jefferson County Department of Health, Birmingham, Alabama, USA.
J Public Health Manag Pract. 2004 Mar-Apr;10(2):148-55. doi: 10.1097/00124784-200403000-00009.
Same-day scheduling, is built on the premise that today's work should be done today. Ensuring patients access to providers on the same day that they call their providers challenges a cherished assumption of medical practice management. Increasing dissatisfaction on the part of both patients and providers has made same-day scheduling increasingly popular for medical practices in both the for-profit and not-for-profit sectors. The study described in this article reports the results of an experimental introduction of same-day scheduling in a public health clinic. Same-day scheduling resulted in shorter waiting times, lower no-show rates (or alternatively higher show rates), more new patients, and increased provider productivity. The results of this pilot study were sufficient to convince the local health department to expand same-day scheduling to all its clinics and illustrate the gains that can be achieved in doing today's work today.
当日预约制基于“今日事今日毕”的前提。确保患者在致电医疗机构当天就能看诊，这对医疗实践管理中一个备受珍视的假设提出了挑战。患者和医疗机构双方日益增长的不满情绪，使得当日预约制在营利性和非营利性医疗行业中越来越受欢迎。本文所述的研究报告了在一家公共卫生诊所进行当日预约制试验性引入的结果。当日预约制带来了更短的候诊时间、更低的爽约率（或者说更高的就诊率）、更多的新患者以及更高的医疗人员工作效率。这项试点研究的结果足以说服当地卫生部门将当日预约制推广到其所有诊所，并说明了当日完成工作所能取得的成效。
