Campbell B, Staley D, Matas M
Department of Psychiatry, University of Manitoba, Winnipeg.
Can J Psychiatry. 1991 Apr;36(3):223-5. doi: 10.1177/070674379103600312.
Patient noncompliance is a major problem in clinical practice. In order to better understand this issue, 236 appointments at an outpatient psychiatry clinic of a large urban general hospital were examined. Five variables significantly discriminated patients who kept their appointments from patients who did not. Patients who were younger, had a history of missed appointments, were scheduled to see a resident physician, had a routine appointment and lived a distance from the hospital, were at greater risk of missing their appointment. This information helps to identify patients at high risk of nonattendance and allows clinicians to plan schedules and appointments more efficiently.
患者不依从是临床实践中的一个主要问题。为了更好地理解这个问题，对一家大型城市综合医院门诊精神科的236次预约进行了检查。有五个变量能显著区分按时赴约的患者和未按时赴约的患者。年龄较小、有爽约史、预约看住院医师、进行常规预约且住得离医院较远的患者，爽约风险更高。这些信息有助于识别高失约风险患者，并使临床医生能够更有效地安排日程和预约。
