Sinha Anuradha, Bansal Shivani, Shirsat Pankaj M, Prasad Pooja, Desai Rajiv S
Department of Oral Pathology, Government Dental College and Hospital, Fort St. George Hospital Campus, Mumbai, Maharashtra, India.
Department of Oral Pathology, Nair Hospital Dental College, Mumbai, Maharashtra, India.
J Oral Maxillofac Pathol. 2020 Jan-Apr;24(1):113-116. doi: 10.4103/jomfp.JOMFP_170_19. Epub 2020 May 8.
Regardless of the form of treatment, long-term follow-up of the patient is an absolute necessity. This study aimed to follow surgically treated patients visiting our department of oral pathology over 5 years (January 2011-December 2015) to monitor recurrence of the condition, patient compliance and reasons for noncompliance.
We conducted half-yearly recall for patients visiting our department from January 2011 to December 2015. Patients were recalled through the use of letters, telephonic reminders and e-mails.
The study included 171 recalled patients of whom, 42 (24.56%) reported for follow-up, while the remaining 129 (75.43%) did not report for follow-up. Of the 42 reporting patients, 26 (61.90%) reported once, 10 (23.81%) twice and 6 (14.28%) three times. Recurrence of the condition was reported in two cases. The reasons for noncompliance included: financial constraints (22.48%), casual attitude (37.20%), reported to nearby hospitals (5.42%) and lack of time (11.62%). Some patients could not be sent reminder letters due to incomplete address (7.75%), the wrong pin code (6.97%), change of address (4.65%), locked house (3.10%) and death of the patient (0.77%).
This study highlights patient recall appointment noncompliance, ascribing various reasons to the patient's attrition rate for recall appointments. Probable solutions for increasing the compliance for recall need to be addressed, and further research should be conducted to evaluate these solutions.
无论采用何种治疗方式,对患者进行长期随访都是绝对必要的。本研究旨在对2011年1月至2015年12月期间到我院口腔病理科接受手术治疗的患者进行为期5年的随访,以监测病情复发情况、患者的依从性及不依从的原因。
我们对2011年1月至2015年12月期间到我院就诊的患者进行半年一次的召回。通过信件、电话提醒和电子邮件等方式召回患者。
该研究共召回171例患者,其中42例(24.56%)前来接受随访,其余129例(75.43%)未前来随访。在前来随访的42例患者中,26例(61.90%)随访了一次,10例(23.81%)随访了两次,6例(14.28%)随访了三次。有两例报告病情复发。不依从的原因包括:经济困难(22.48%)、态度随意(37.20%)、到附近医院就诊(5.42%)和没时间(11.62%)。由于地址不完整(7.75%)、邮政编码错误(6.97%)、地址变更(4.65%)、房屋上锁(3.10%)和患者死亡(0.77%),部分患者无法收到提醒信件。
本研究突出了患者召回预约的不依从性,将召回预约患者流失率的各种原因归结于此。需要探讨提高召回依从性的可能解决方案,并应开展进一步研究以评估这些解决方案。