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与磁共振成像(MRI)检查预约爽约及重新安排相关的因素。

Factors associated with No-Shows and rescheduling MRI appointments.

作者信息

O AlRowaili Majeed, Ahmed Anwar E, Areabi Hasan A

机构信息

King Abdullah International Medical Research Center (KAIMRC), College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Division of Magnetic Resonance Imaging, King Abdul-Aziz Medical City, Riyadh, Saudi Arabia.

出版信息

BMC Health Serv Res. 2016 Dec 1;16(1):679. doi: 10.1186/s12913-016-1927-z.

Abstract

BACKGROUND

One of the major challenges facing global radiology services comes from delays connected to long waiting lists for magnetic resonance imaging (MRI) procedures. Such delays in diagnostic procedures could lead to poorer patient care outcomes. This study intended to estimate the rate of "No-Shows" or "Reschedule" MRI appointments. We also investigated the factors correlating No-Shows and Reschedule MRI appointments.

METHODS

A cross-sectional study was conducted in Saudi Arabia using data obtained via MRI schedule reviews and self-administrated questionnaires. Clinical and demographic data were also collected from the study participants. Stepwise binary logistic regression was used to analyze the data.

RESULTS

A total of 904 outpatients were asked to participate in the study, and we enrolled 121 outpatients who agreed to complete the study questionnaire. Of the 904 outpatients, the rate of No-Shows or Reschedule was 34.8% (95% Confidence Interval: 31.7-38.1%). Of the 121 outpatients studied, the rate of No-Shows or Reschedule was 49.6% (95% CI: 40.4-58.8%). Those of the female gender (OR = 6.238; 95% CI: 2.674-14.551, p-value = 0.001) and lack of education (OR = 2.799; 95% CI: 1.121-6.986, p-value = 0.027) were highly associated with No-Shows for the MRI appointments. There was no clarification of the MRI instructions (OR = 31.396; 95% CI: 3.427-287.644; p-value = 0.002), and family member drivers (OR = 15.530; 95% CI: 2.637-91.446, p-value = 0.002) were highly associated with rescheduling the MRI appointments.

CONCLUSIONS

We noted higher rates of No-Shows and Rescheduling of MRI appointments in females, those with a lack of formal education, those who had not received the procedure instructions, and those who lacked transportation. We recommend setting targets and developing strategies and policies to improve more timely access to MRI, and thus reduce the waiting time.

摘要

背景

全球放射学服务面临的主要挑战之一来自与磁共振成像(MRI)检查的长等候名单相关的延误。诊断程序中的此类延误可能导致患者护理结果较差。本研究旨在估计MRI预约的“爽约”或“重新安排”率。我们还调查了与MRI预约爽约和重新安排相关的因素。

方法

在沙特阿拉伯进行了一项横断面研究,使用通过MRI日程审查和自行填写的问卷获得的数据。还从研究参与者那里收集了临床和人口统计学数据。采用逐步二元逻辑回归分析数据。

结果

总共邀请了904名门诊患者参与研究,我们招募了121名同意完成研究问卷的门诊患者。在904名门诊患者中,爽约或重新安排的比例为34.8%(95%置信区间:31.7 - 38.1%)。在研究的121名门诊患者中,爽约或重新安排的比例为49.6%(95%CI:40.4 - 58.8%)。女性(比值比[OR]=6.238;95%CI:2.674 - 14.551,p值=0.001)和缺乏教育(OR = 2.799;95%CI:1.121 - 6.986,p值=0.027)与MRI预约爽约高度相关。未明确MRI检查说明(OR = 31.396;95%CI:3.427 - 287.644;p值=0.002)以及有家庭成员开车接送(OR = 15.530;95%CI:2.637 - 91.446,p值=0.002)与重新安排MRI预约高度相关。

结论

我们注意到女性、缺乏正规教育者、未收到检查说明者以及缺乏交通工具者的MRI预约爽约和重新安排率较高。我们建议设定目标并制定战略和政策,以改善更及时地进行MRI检查的机会,从而减少等待时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ac7/5133747/2c386c524702/12913_2016_1927_Fig1_HTML.jpg

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