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法医精神科门诊的失约:风险因素及原因

No-show at a forensic psychiatric outpatient clinic: risk factors and reasons.

作者信息

Feitsma W Nathalie, Popping Roel, Jansen Daniëlle E M C

机构信息

University of Groningen, Netherlands.

出版信息

Int J Offender Ther Comp Criminol. 2012 Feb;56(1):96-112. doi: 10.1177/0306624X10389435. Epub 2010 Dec 27.

DOI:10.1177/0306624X10389435
PMID:21187299
Abstract

Nonattendance for and late cancellations of scheduled appointments, that is no-show, is a well-known phenomenon in psychiatric outpatient clinics. Research on the topic of no-show for initial and consecutive appointments in the field of forensic psychiatry is scarce. This study therefore aims to determine the prevalence and causes of no-show and to explore reasons for nonattendance. The study was carried out in an outpatient clinic in northern Netherlands. Telephone interviews were administered to 27 no-show clients, 84 follow-up no-show clients, and 41 attendees of 18 years and older. A no-show rate of 24.9% and a follow-up no-show rate of 9.8% was found. The majority of appointments missed were in the beginning phase of clinic contact. No-show clients were younger than their attending counterparts and more often dropped out from clinic contact. Also, less family social support was experienced by nonattendees. Reasons for nonattendance were having forgotten about appointment and work commitments.

摘要

在精神科门诊中,预约未到和取消预约(即爽约)是一种常见现象。法医精神病学领域中关于初诊和连续预约爽约的研究较少。因此,本研究旨在确定爽约的发生率和原因,并探究未就诊的原因。该研究在荷兰北部的一家门诊进行。对27名爽约患者、84名随访爽约患者以及41名18岁及以上的就诊患者进行了电话访谈。发现爽约率为24.9%,随访爽约率为9.8%。错过的预约大多发生在门诊接触的初始阶段。爽约患者比就诊患者更年轻,且更常退出门诊接触。此外,未就诊者获得的家庭社会支持较少。未就诊的原因是忘记了预约和工作安排。

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