实施短信服务以提高对诊所和社会服务预约的依从性。
Implementation of a Text Message to Improve Adherence to Clinic and Social Service Appointments.
作者信息
Anthony Nishal, Molokwu Jennifer, Alozie Ogechika, Magallanes Diego
机构信息
1 Resident Physician Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, USA.
2 Department of Family and Community Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, USA.
出版信息
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219870166. doi: 10.1177/2325958219870166.
INTRODUCTION
Attendance to clinic appointments and compliance with treatment plans are essential components of HIV/AIDS care. Compliance is especially important in young and minority individuals living with HIV/AIDS. We assessed the effectiveness of a text-based reminder system compared with usual care in improving the attendance to clinic and social work appointments at a Ryan White-funded clinic based in an academic institution.
METHODS
Convenience sample looking at 2 periods, 6 months before initiation of text messages and 6 months after initiation of text messages.
RESULTS
Following a 6-month postintervention period, we found a statistically significant reduction in our no-show rates (individuals failing to keep scheduled appointments) of 24.8% versus 17.7%, value .05.
CONCLUSION
Using an inexpensive online text messaging system, we were able to significantly decrease no-show rates in a primarily younger, low-income, and uninsured population.
引言
按时就诊和遵守治疗计划是艾滋病毒/艾滋病护理的重要组成部分。对于感染艾滋病毒/艾滋病的年轻人和少数族裔来说，遵守治疗计划尤为重要。我们评估了基于短信的提醒系统与常规护理相比，在一所学术机构的瑞安·怀特基金资助诊所中提高门诊和社会工作预约就诊率方面的有效性。
方法
采用便利抽样法，观察两个时间段，即开始发送短信前6个月和开始发送短信后6个月。
结果
经过6个月的干预期后，我们发现未就诊率（未按预约就诊的人）在统计学上有显著降低，分别为24.8%和17.7%，P值＜0.05。
结论
通过使用廉价的在线短信系统，我们能够显著降低主要为年轻、低收入且未参保人群的未就诊率。
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