Green Judith, McDowall Zoe, Potts Henry W W
CHIME, University College London, Whittington Campus, Highgate Hill, London, N19 5LW, UK .
BMC Med Inform Decis Mak. 2008 Aug 1;8:36. doi: 10.1186/1472-6947-8-36.
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.
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.
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.
In this study, patients did not experience the degree of choice that Choose and Book was designed to deliver.
“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。
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。
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。
在本研究中，患者并未体验到“选择与预约”旨在提供的选择程度。
