Weaver Kendra R, Talley Michele, Mullins Melissa, Selleck Cynthia
a Department of Acute, Chronic, and Continuing Care , University of Alabama at Birmingham School of Nursing , Birmingham , Alabama , USA.
b PATH Clinic , University of Alabama , Birmingham , Alabama , USA.
J Community Health Nurs. 2019 Jan-Mar;36(1):11-18. doi: 10.1080/07370016.2018.1555315.
Free clinics increase access to care, however, patients frequently miss appointments. The purpose of this quality improvement project was to determine if providing patient navigation affects first appointment no-show rates and hemoglobin A1c (HbA1c) in uninsured patients with diabetes at a free clinic. For 6 months, all patients scheduled for new appointments received weekly patient navigation calls. First appointment no-show rates decreased by 17.7% (p = 0.01). Among patients who received at least one patient navigation call, a significantly greater proportion attended their first appointment (72%) compared to the show rate for those who did not receive a completed call (43%) (p = 0.004).
免费诊所增加了医疗服务的可及性，然而，患者经常爽约。这个质量改进项目的目的是确定提供患者导航服务是否会影响免费诊所中未参保糖尿病患者的首次预约未到诊率和糖化血红蛋白（HbA1c）水平。在6个月的时间里，所有安排新预约的患者每周都会接到患者导航电话。首次预约未到诊率下降了17.7%（p = 0.01）。在至少接到一次患者导航电话的患者中，与未接到完整电话的患者的到诊率（43%）相比，有显著更高比例的患者参加了首次预约（72%）（p = 0.004）。
