Rohrer James E, Yapuncich Kathleen M, Adamson Steven C, Angstman Kurt B
Department of Family Medicine, Mayo Clinic-Rochester, 200 First Street SW, Rochester, MN 55905, USA.
J Am Board Fam Med. 2008 Sep-Oct;21(5):475-6. doi: 10.3122/jabfm.2008.05.080072.
The purpose of this study was to assess the risk of early return visits for pediatric patients using a retail clinic.
We used medical records of pediatric patients seen in a large group practice in Minnesota in the first 2 months of 2008. A retrospective analysis of electronic patient records was performed on 2 groups of patients: those using the retail clinic (n = 200) and a comparison group using a same-day acute family medicine clinic in a medical office (n = 200). Two measures of early return visits were used as dependent variables: office visits within 2 weeks for any reason and office visits within 2 weeks for the same reason. Multiple logistic regression analysis was used to adjust for case mix differences between groups. Trained medical records abstractors reviewed electronic medical records to obtain the data.
After adjustment for baseline differences in age, acuity, and number of office visits in the previous 6 months, no significant differences in risk of early return visits were found among clinic types.
Retail clinic visits were not associated with early return visits.
本研究旨在评估儿科患者使用零售诊所后早期复诊的风险。
我们使用了2008年明尼苏达州一家大型综合诊所前两个月儿科患者的病历。对两组患者的电子病历进行回顾性分析：使用零售诊所的患者（n = 200）和在医疗办公室使用当日急性家庭医学诊所的对照组（n = 200）。早期复诊的两项指标用作因变量：因任何原因在2周内的门诊就诊以及因相同原因在2周内的门诊就诊。使用多元逻辑回归分析来调整组间病例组合差异。经过培训的病历摘要员查阅电子病历以获取数据。
在调整了年龄、病情严重程度和前6个月门诊就诊次数的基线差异后，未发现不同诊所类型之间早期复诊风险存在显著差异。
零售诊所就诊与早期复诊无关。
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