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全科医疗中的未就诊者:未就诊原因及就诊模式

Defaulters in general practice: reasons for default and patterns of attendance.

作者信息

Cosgrove M P

机构信息

Woodhouse Health Centre, Leeds.

出版信息

Br J Gen Pract. 1990 Feb;40(331):50-2.

PMID:2107849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1371138/
Abstract

A series of 40 patients in general practice who failed to attend for their appointments were studied to look at their patterns of attendance over the previous five years, together with their reasons for default. The group not only defaulted more often than a group of age and sex matched controls but made significantly more visits to the surgery. Seventeen of the patients increased their default rate as their attendance rate increased over the five year period. The main reasons patients gave for defaulting on the occasion studied were: feeling too ill to attend (eight patients), resolution of symptoms (six) or forgotten/confused appointment time (seven). Four patients were thought by the general practitioner to need a home visit, two of whom were suffering from depression. Further research is needed to define those who would be expected to need a visit.

摘要

对40名在全科医疗中未按预约就诊的患者进行了一项研究,以观察他们过去五年的就诊模式及其未就诊原因。与年龄和性别匹配的对照组相比,该组患者不仅更频繁地爽约,而且到诊所就诊的次数也显著更多。在这五年期间,有17名患者随着就诊率的上升,其爽约率也有所增加。在此次研究中,患者给出的爽约主要原因是:感觉病得太重无法就诊(8名患者)、症状缓解(6名)或忘记/混淆了预约时间(7名)。全科医生认为有4名患者需要上门问诊,其中2名患有抑郁症。需要进一步研究来确定哪些人可能需要上门问诊。

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本文引用的文献

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Dropouts and broken appointments. A literature review and agenda for future research.失访与爽约:文献综述及未来研究议程
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Waning effectiveness of mailed reminders on reducing broken appointments.邮寄提醒在减少失约方面的效果逐渐减弱。
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Appointment-keeping behavior in adolescents.青少年的预约行为。
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Telephone prompting to increase attendance at a Psychiatric Outpatient Clinic.通过电话提醒来提高精神科门诊的就诊率。
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New-patient no-shows in an urban family practice center: analysis and intervention.城市家庭医疗中心新患者爽约情况:分析与干预
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8
What happens to defaulters from a diabetic clinic?糖尿病诊所的违约者会怎样?
Br Med J (Clin Res Ed). 1985 Nov 9;291(6505):1330-2. doi: 10.1136/bmj.291.6505.1330.
9
Non-attendance or non-invitation? A case-control study of failed outpatient appointments.未就诊还是未被邀请?门诊预约未成功的病例对照研究。
BMJ. 1989 May 20;298(6684):1343-5. doi: 10.1136/bmj.298.6684.1343.
10
Characteristics of defaulters in treatment for infection with Neisseria gonorrhoeae.淋病奈瑟菌感染治疗中失访者的特征。
J Infect Dis. 1979 Oct;140(4):649-51. doi: 10.1093/infdis/140.4.649.