“选择并预约”系统是否未能为患者提供预期的选择？一项关于患者门诊预约体验的调查。

Does Choose & Book fail to deliver the expected choice to patients? A survey of patients' experience of outpatient appointment booking.

作者信息

Green Judith, McDowall Zoe, Potts Henry W W

机构信息

CHIME, University College London, Whittington Campus, Highgate Hill, London, N19 5LW, UK .

出版信息

BMC Med Inform Decis Mak. 2008 Aug 1;8:36. doi: 10.1186/1472-6947-8-36.

DOI:10.1186/1472-6947-8-36

PMID:18673533

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2529277/

Abstract

BACKGROUND

Choose and Book is a central part of the UK Government patient choice agenda that seeks to provide patients with a choice over the time, date and place of their first outpatient appointment. This is done through the use of a computerised booking system. After a 2004 pilot study, Choose and Book was formally launched in January 2006. This is the first study of patient experience of Choose and Book since then.

METHODS

A questionnaire survey of reported experience of choice over the time, data and place of appointment, carried out in a National Health Service hospital in London. 104 patients at their first outpatient appointment completed the questionnaire, consisting of a consecutive series of patients referred through Choose and Book and a sample referred through the conventional booking system.

RESULTS

Among the Choose and Book patients, 66% (31/47; 95% CI 52 to 78%) reported not being given a choice of appointment date, 66% (31/47; 95% CI 52 to 78%) reported not being given a choice of appointment time, 86% (37/43; 95% CI 74 to 94%) reported being given a choice of fewer than four hospitals in total and 32% (15/47; 95% CI 20 to 46%) reported not being given any choice of hospital.

CONCLUSION

In this study, patients did not experience the degree of choice that Choose and Book was designed to deliver.

摘要

背景

“选择与预约”（Choose and Book）是英国政府患者选择计划的核心部分，旨在为患者提供首次门诊预约的时间、日期和地点的选择权。这是通过使用计算机化预约系统来实现的。在2004年的一项试点研究之后，“选择与预约”于2006年1月正式推出。这是自那时以来对“选择与预约”患者体验的首次研究。

方法

在伦敦一家国民保健服务医院对预约时间、日期和地点的选择报告体验进行问卷调查。104名首次门诊预约的患者完成了问卷，其中包括通过“选择与预约”转诊的一系列连续患者以及通过传统预约系统转诊的样本。

结果

在“选择与预约”患者中，66%（31/47；95%置信区间52%至78%）报告未获得预约日期的选择权，66%（31/47；95%置信区间52%至78%）报告未获得预约时间的选择权，86%（37/43；95%置信区间74%至94%）报告总共获得的医院选择少于四家，32%（15/47；95%置信区间20%至46%）报告未获得任何医院选择权。