Kourany R F, Garber J, Tornusciolo G
Division of Child and Adolescent Psychiatry, Vanderbilt University Medical School, Nashville, Tennessee.
J Am Acad Child Adolesc Psychiatry. 1990 Jul;29(4):657-60. doi: 10.1097/00004583-199007000-00022.
This study tested the efficacy of several interventions for reducing the rate of "no shows" to first appointments to a child psychiatry outpatient clinic. After their initial telephone contact with the clinic, patients were randomly assigned to one of four conditions: (1) a reminder telephone call, (2) an orientation letter, (3) both a telephone prompt and an orientation letter, and (4) no contact. Results indicated that any contact was significantly more likely to reduce the "no show" rate than no contact. Those who "no showed" or cancelled had to wait significantly longer for an appointment than did those who showed. Parent's primary reason for not making their appointments was that the scheduled time interfered with their work schedule. Implications of these results for improving clinic services are discussed.
本研究测试了几种干预措施在降低儿童精神科门诊首次预约“爽约”率方面的效果。在患者与诊所进行首次电话联系后，他们被随机分配到以下四种情况之一：（1）提醒电话；（2）说明信；（3）电话提示和说明信两者兼具；（4）无接触。结果表明，与无接触相比，任何形式的接触都显著更有可能降低“爽约”率。“爽约”或取消预约的患者比按时就诊的患者等待预约的时间长得多。家长不赴约的主要原因是预约时间与他们的工作安排冲突。本文讨论了这些结果对改善诊所服务的意义。
