St. Patrick's University Hospital, Dublin, Ireland.
Int J Psychiatry Med. 2010;40(2):217-28. doi: 10.2190/PM.40.2.g.
Several factors may predict adherence with psychiatric follow-up appointment for patients seen in the emergency department (ED) by liaison psychiatric teams. Awareness of these factors would allow for interventions targeted at vulnerable groups.
To examine the factors which could predict adherence with psychiatric follow-up appointments for patients assessed in the ED by the liaison psychiatric team.
The records of all patients assessed over a 3-month period by the liaison psychiatric team in the emergency department of Beaumont Hospital who were then referred for follow-up to their community mental health team were examined for relevant demographic and clinical variables. Phone contact was then made with the teams to which patients had been referred, to confirm the appointments made and if the patients had attended for their follow-up appointment. The data was analyzed with SPSS (version 17) using descriptive statistics and logistic regression.
Overall, 56% of the patients were found to have attended their follow-up appointments. Being previously known to psychiatric services was the only statistically significant predictor of adherence with out-patient appointments; with an odds ratio of 7 and p-value of 0.034 when controlling for other variables.
Patients who are not known to psychiatric services prior to assessment in the emergency department may need a more proactive outreach if compliance with psychiatric follow-up appointments is to be improved.
通过联络精神病学团队在急诊部（ED）为患者提供治疗服务时，有几个因素可能会影响他们对后续预约的依从性。了解这些因素可以有针对性地为弱势群体提供干预措施。
研究联络精神病学团队在 ED 评估的患者中，哪些因素可以预测他们对精神科后续预约的依从性。
对在 Beaumont 医院急诊部由联络精神病学团队评估的所有患者进行记录，这些患者随后被转介到他们的社区精神卫生团队进行随访。然后与转介的团队进行电话联系，以确认预约情况以及患者是否参加了他们的后续预约。使用 SPSS（版本 17）进行数据分析，采用描述性统计和逻辑回归。
总体而言，56%的患者参加了他们的后续预约。在急诊部评估前已为精神病服务所熟知是唯一具有统计学意义的门诊预约依从性预测因素；在控制其他变量的情况下，其优势比为 7，p 值为 0.034。
如果要提高精神科后续预约的依从性，那么在急诊部评估前未为精神病服务所熟知的患者可能需要更积极主动的外展服务。
