Dr. Cullen is with the Department of Psychiatry and Behavioral Sciences, Johns Hopkins Medical Institutions, Baltimore, and the Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore.
Psychiatr Serv. 2018 Dec 1;69(12):1212-1214. doi: 10.1176/appi.ps.201800161. Epub 2018 Aug 28.
Show rates for psychiatric outpatient appointments are low among new patients, which affects all patients as well as providers and programs. This column describes two initiatives implemented to address this issue in a community psychiatry program: inpatient referrals and self-referrals. Inpatient referrals were scheduled for an orientation group within five days postdischarge, with initial evaluations within two working days. Biweekly walk-in screening clinics were established for community self-referrals, during which patients were screened and scheduled for an initial evaluation within three working days. Both initiatives significantly increased patient show rates and reduced unused scheduled physician time. Relatively simple initiatives can result in improvements in initial evaluation attendance, benefiting all involved.
新患者的精神科门诊预约率较低，这不仅影响了所有患者，也影响了医务人员和项目。本专栏介绍了在社区精神病学项目中为解决这一问题而采取的两项举措：住院转介和自我转介。对于住院转介，在出院后五天内安排参加一个介绍小组，在两个工作日内进行初步评估。为社区的自我转介设立了两周一次的随到随诊筛查诊所，在这些诊所中，对患者进行筛查，并在三个工作日内安排进行初步评估。这两项举措都显著提高了患者的预约就诊率，减少了未使用的预约医生时间。相对简单的举措可以改善初始评估的参与度，使所有相关人员受益。
