Cottrell D, Hill P, Walk D, Dearnaley J, Ierotheou A
St. George's Hospital Medical School.
Br J Psychiatry. 1988 Feb;152:201-4. doi: 10.1192/bjp.152.2.201.
The clinic attendance of 100 consecutive referrals to child psychiatry is described. Only 47 cases ended in agreed discharge. Different factors were found to be associated with attrition at different stages in the treatment-uptake process. Of referrals offered an appointment, 16% failed to attend at all; this was significantly associated with parents being against referral. Of cases offered a subsequent appointment, 40% dropped out. Continued attendance was associated with a presenting problem of general anxiety and with consultation to the referrer. Dropping out was associated with parents who were separated.
本文描述了连续100例转介至儿童精神病科的就诊情况。仅有47例最终达成出院共识。研究发现，在治疗接受过程的不同阶段，导致失访的因素各不相同。在获得预约的转介病例中，16%根本未就诊，这与家长反对转介显著相关。在获得后续预约的病例中，40%退出。持续就诊与一般性焦虑的就诊问题以及向转诊医生咨询有关。退出则与父母分居有关。
