Department of Psychiatry and Behavioral Sciences, State University of New York Upstate Medical University, 750 East Adams St., Syracuse, NY 13210, USA.
Psychiatr Serv. 2010 Jul;61(7):657-9. doi: 10.1176/ps.2010.61.7.657.
Although missed appointments in service delivery systems reduce effective case management, clinical efficiency, staff morale, and resource utilization, researchers have paid little attention to the impact of missed appointments on patient care. This column presents findings from a study that examined predictors of missed appointments during the course of therapy among 2,903 psychiatric patients between the ages of three and 17. Self-reported history of maternal depression proved to be the most powerful predictor. Living more than 30 miles from the clinic and having a parent who was single or never married also predicted missed appointments.
尽管服务提供系统中的预约失约会降低有效的病例管理、临床效率、员工士气和资源利用，但研究人员很少关注预约失约对患者护理的影响。本专栏介绍了一项研究的结果，该研究调查了 2903 名 3 至 17 岁精神科患者在治疗过程中预约失约的预测因素。自我报告的母亲抑郁病史是最有力的预测因素。居住在距离诊所 30 英里以上的地方以及父母一方为单身或从未结婚也预示着预约失约。
