Moriya Junko, Kayano Mami, Yoshiuchi Kazuhiro
Department of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655 Japan.
Biopsychosoc Med. 2017 Oct 1;11:27. doi: 10.1186/s13030-017-0113-9. eCollection 2017.
In Japan, patients generally have free access to any hospital or clinic. This could lead to reduced efficiency in the treatment for eating disorders (EDs) because there are only a limited number of doctors who can treat ED patients. The objectives of this study were to examine the efficiency of a new trial system for consultation and appointments, a medical community network (MCN), in outpatient treatment for EDs. MCN schedules appointments for the first visit only by referral from another medical institution, not by patients themselves.
We analyzed the data of 342 outpatients (mean age = 28.9 ± 9.9 years; 328 female and 14 male) who visited the ED clinic at the University of Tokyo Hospital for the first time between January 2009 and July 2012 to investigate possible differences in treatment efficacy between the new (MCN+) system and the conventional (MCN-) system, which accepts reservations directly from patients.
The no-show rate for MCN+ patients (0.8%) was significantly lower than that for the MCN- group (17.8%) ( < 0.001). MCN+ patients had a significantly shorter waiting period (8.4 days) for the first visit compared to MCN- patients (35.5 days, p < 0.001). In addition, the MCN+ group had a much higher rate of successive visits to the clinic ( < 0.05).
This new consultation system using a medical community network provided more efficient treatment for ED than did the appointment system in which the patients made their appointments by themselves.
在日本，患者通常可自由前往任何医院或诊所就诊。这可能导致饮食失调（ED）治疗效率降低，因为能够治疗ED患者的医生数量有限。本研究的目的是检验一种新的咨询与预约试验系统——医疗社区网络（MCN）在ED门诊治疗中的效率。MCN仅通过其他医疗机构的转诊来安排首次就诊预约，而非患者自行预约。
我们分析了2009年1月至2012年7月期间首次前往东京大学医院ED门诊就诊的342名门诊患者（平均年龄 = 28.9 ± 9.9岁；女性328名，男性14名）的数据，以调查新的（MCN+）系统与接受患者直接预约的传统（MCN-）系统在治疗效果上可能存在的差异。
MCN+患者的爽约率（0.8%）显著低于MCN-组（17.8%）（< 0.001）。与MCN-患者（35.5天）相比，MCN+患者首次就诊的等待期显著更短（8.4天，p < 0.001）。此外，MCN+组连续就诊率高得多（< 0.05）。
与患者自行预约的预约系统相比，这种使用医疗社区网络的新咨询系统为ED提供了更高效的治疗。
