Bech Mickael
Institute of Public Health, Health Economics, University of Southern Denmark, Winslowparken 19,3, 5000 Odense C, Denmark.
Health Policy. 2005 Oct;74(2):181-91. doi: 10.1016/j.healthpol.2005.01.001. Epub 2005 Jan 21.
Non-attendance is claimed to waste substantial health care resources. However, this is only vaguely supported by empirical evidence. The epidemiology of non-attendees is explored in a rather large number of studies along with a sizeable number of studies documenting the effectiveness of various interventions to reduce non-attendance rates. Very few studies include more than one intervention and very few report information on the cost of the intervention which enables only vague conclusions about the cost-effectiveness of the interventions. The effectiveness of charging a fine on non-attendees, which has recently been suggested in Denmark and United Kingdom, has been studied in very few studies. These studies reveal that a fine will as most economists expected reduce the non-attendance rate. The literature of non-attendance discloses an immense need for studies addressing the non-attendance problem applying economic theory and standards of analysis.
无故缺席被认为会浪费大量医疗资源。然而,这一观点仅得到了实证证据的模糊支持。相当多的研究探讨了无故缺席者的流行病学情况,同时也有大量研究记录了各种降低无故缺席率干预措施的有效性。很少有研究包含不止一种干预措施,而且很少有研究报告干预措施的成本信息,这使得关于干预措施成本效益的结论只能是模糊的。丹麦和英国最近提出对无故缺席者处以罚款,针对这一措施有效性的研究极少。这些研究表明,正如大多数经济学家所预期的那样,罚款将降低无故缺席率。关于无故缺席的文献揭示,迫切需要运用经济理论和分析标准来研究无故缺席问题的相关研究。