Kavanagh K T, Smith T R, Golden G S, Tate N P, Hinkle W G
Department of Otolaryngology and Maxillofacial Surgery, University of Tennessee, Memphis 38163.
Ann Otol Rhinol Laryngol. 1989 Oct;98(10):755-60. doi: 10.1177/000348948909801001.
A computerized system for appointment scheduling, medical record keeping, medical billing, patient tracking, and epidemiologic data generation was developed and applied in an indigent pediatric otologic clinic. Functions used to augment appointment compliance are 1) notifying the referring physicians, agencies, and health department coordinators of failed appointments and sending medical information on the attended appointments, 2) listing patients who failed appointments, 3) production of mailings for failed appointments, 4) automatic rescheduling of failed appointments, and 5) automatic calculation of patient attendance ratios. The attendance ratio can be used to help identify patients for referral to social service workers and to implement rewards designed to promote medical compliance. The automatic rescheduling of failed appointments resulted in 21% of new patients and 30% of return patients above controls returning for a medical visit. The recalled had much lower economic status than our average clinic patient, ie, the system was effective in reaching the target population.
开发了一个计算机化系统，用于预约安排、病历保存、医疗计费、患者跟踪以及生成流行病学数据，并将其应用于一家贫困儿童耳科诊所。用于提高预约依从性的功能包括：1）将预约失败情况通知转诊医生、机构和卫生部门协调员，并发送已就诊预约的医疗信息；2）列出预约失败的患者；3）为预约失败的患者制作邮件；4）自动重新安排预约失败的患者；5）自动计算患者就诊率。就诊率可用于帮助确定转介给社会服务工作者的患者，并实施旨在促进医疗依从性的奖励措施。预约失败的患者自动重新安排后，新患者中有21%、复诊患者中有30%比对照组更多地回来就诊。召回的患者经济状况远低于我们诊所的平均患者，也就是说，该系统在覆盖目标人群方面是有效的。
