Samuels Ronald C, Ward Valerie L, Melvin Patrice, Macht-Greenberg Michael, Wenren Larissa M, Yi Jessica, Massey Gordon, Cox Joanne E
Boston Children's Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA
Boston Children's Hospital, Boston, MA, USA Harvard Medical School, Boston, MA, USA.
Clin Pediatr (Phila). 2015 Sep;54(10):976-82. doi: 10.1177/0009922815570613. Epub 2015 Feb 12.
Missed appointments complicate primary care services.
To determine factors associated with missed pediatric appointments.
DESIGN/METHODS: A convenience sample of 1537 patients who missed appointments were called and 386 (25%) families completed the 26-item survey. Those with high no-show rates were compared with the rest using χ(2) and Fisher's exact tests. Initial covariates with P < .2 were included in a multivariate logistic regression model.
Common reasons for missing appointments were the following: forgot (27%), transportation problems (21%), and time off of work (14%). The high no-show group had more African Americans (P = .030) and older patients (P = .003). Higher no-show rates correlated with well child visits (P = .029) and perception of "excellent health" (P = .022). In the logistic regression model, well child appointments (odds ratio = 2.56) and increasing age in years (odds ratio = 1.11) were associated with higher no-show rates.
Efforts to decrease no-show rates should target older patients and well child visits.
失约使基层医疗服务变得复杂。
确定与儿科预约失约相关的因素。
设计/方法：对1537名失约患者进行便利抽样并致电，386个（25%）家庭完成了26项调查。使用χ(2)检验和费舍尔精确检验将失约率高的患者与其他患者进行比较。将P < 0.2的初始协变量纳入多因素逻辑回归模型。
失约的常见原因如下：忘记（27%）、交通问题（21%）和请假（14%）。失约率高的组中非洲裔美国人更多（P = 0.030）且患者年龄更大（P = 0.003）。更高的失约率与健康儿童体检（P = 0.029）和“健康状况极佳”的认知（P = 0.022）相关。在逻辑回归模型中，健康儿童预约（比值比 = 2.56）和年龄每增加一岁（比值比 = 1.11）与更高的失约率相关。
降低失约率的努力应针对老年患者和健康儿童体检。
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