Parmar Vijal, Large Ann, Madden Colm, Das Vijay
University Department of Otolaryngology--Head and Neck Surgery and Audiological Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
Inform Prim Care. 2009;17(3):183-6. doi: 10.14236/jhi.v17i3.733.
The 'Choose and Book' system provides an online booking service which primary care professionals can book in real time or soon after a patient's consultation. It aims to offer patients choice and improve outpatient clinic attendance rates.
An audit comparing attendance rates of new patients booked into the Audiological Medicine Clinic using the 'Choose and Book' system with that of those whose bookings were made through the traditional booking system.
Data accrued between 1 April 2008 and 31 October 2008 were retrospectively analysed for new patient attendance at the department, and the age and sex of the patients, method of appointment booking used and attendance record were collected. Patients were grouped according to booking system used - 'Choose and Book' or the traditional system. The mean ages of the groups were compared by a t test. The standard error of the difference between proportions was used to compare the data from the two groups. A P value of < or = 0.05 was considered to be significant.
'Choose and Book' patients had a significantly better rate of attendance than traditional appointment patients, P < 0.01 (95% CI 4.3, 20.5%). There was no significant difference between the two groups in terms of sex, P > 0.1 (95% CI-3.0, 16.2%). The 'Choose and Book' patients, however, were significantly older than the traditional appointment patients, P < 0.001 (95% CI 4.35, 12.95%).
This audit suggests that when primary care agents book outpatient clinic appointments online it improves outpatient attendance.
“选择并预约”系统提供一项在线预约服务，基层医疗专业人员可在患者会诊时或会诊后不久进行实时预约。其目的是为患者提供选择并提高门诊出勤率。
一项审计，比较使用“选择并预约”系统预约到听力学诊所的新患者与通过传统预约系统预约的患者的出勤率。
回顾性分析2008年4月1日至2008年10月31日期间该科室新患者的出勤数据，并收集患者的年龄、性别、预约方式和出勤记录。患者根据所使用的预约系统进行分组——“选择并预约”系统或传统系统。通过t检验比较两组的平均年龄。使用比例差异的标准误差来比较两组的数据。P值≤0.05被认为具有统计学意义。
“选择并预约”系统预约的患者出勤率显著高于传统预约患者，P<0.01（95%CI 4.3，20.5%）。两组在性别方面无显著差异，P>0.1（95%CI -3.0，16.2%）。然而，“选择并预约”系统预约的患者明显比传统预约患者年龄大，P<0.001（95%CI 4.35，12.95%）。
这项审计表明，当基层医疗人员在线预约门诊预约时，可提高门诊出勤率。
