Frankel S, Farrow A, West R
Department of Epidemiology and Community Medicine, University of Wales, College of Medicine, Cardiff.
BMJ. 1989 May 20;298(6684):1343-5. doi: 10.1136/bmj.298.6684.1343.
To determine the causes of non-attendance at new outpatient appointments.
Case-control study of non-attenders and attenders.
Outpatient department of a general hospital.
All non-attenders (n = 277) for first outpatient appointments in six specialties during a three month period were included. Controls (n = 135) were the attenders who followed every second non-attender; thus they attended the same consultant on the same day that the non-attenders were expected.
None.
Information on the clinical problem, difficulties in attending the hospital, and reasons for non-attendance from the questionnaire were coded and classified. Non-attenders had received shorter notice of their appointment than attenders (14% v 1% had received three days' notice or less). There were small differences in the seriousness of patients' clinical condition.
Client factors are less important than aspects of the service in explaining non-attendance at outpatient appointments.
确定新门诊预约未就诊的原因。
未就诊者与就诊者的病例对照研究。
一家综合医院的门诊部。
纳入了在三个月期间六个专科首次门诊预约的所有未就诊者(n = 277)。对照组(n = 135)是每间隔一名未就诊者选取一名的就诊者;因此他们与未就诊者在同一天就诊于同一位顾问医生。
无。
对问卷中有关临床问题、前往医院的困难以及未就诊原因的信息进行编码和分类。未就诊者比就诊者收到预约通知的时间更短(14%对1%收到的通知为三天或更短时间)。患者临床状况的严重程度存在细微差异。
在解释门诊预约未就诊的原因时,患者因素不如服务方面的因素重要。