Gant-Farley Helen Y, Ross Miriam K, Hudak Ronald P
Advocate Aurora Health, Downers Grove, IL, USA.
Walden University, Minneapolis, MN, USA.
J Patient Exp. 2021 Sep 6;8:23743735211039320. doi: 10.1177/23743735211039320. eCollection 2021.
As the COVID-19 pandemic diminishes, it is expected that patients will seek more outpatient appointments resulting in adverse patient and clinic experiences if there is a corresponding increase in missed appointments. This study's purpose was to determine if there was an association between advanced access scheduling, also known as open access or same day scheduling, and missed appointment rates for patients scheduled with preferred primary care physicians vis-a-vis nonpreferred primary care physicians. Patients prescheduled with primary care providers and over the age of 18 years were included in the study, which totaled 4815 visits. Study results demonstrated a statistically significant mean proportion difference between the national no-show rate and the study's no-show rate as well as a significant association between physician type and visit status. The results suggested the potential for improving the patient experience with advanced access scheduling if patients are scheduled with their preferred primary care physician. This study may promote positive patient experiences by providing patients and clinicians with an understanding of the significance surrounding advanced access scheduling thus decreasing missed appointments.
随着新冠疫情的缓解，如果预约失约率相应增加，预计患者将寻求更多门诊预约，这会给患者和诊所带来不良体验。本研究的目的是确定先进预约排班（也称为开放预约或当日预约）与预约了首选初级保健医生的患者相比非首选初级保健医生的患者的预约失约率之间是否存在关联。本研究纳入了预先安排与初级保健提供者就诊且年龄超过18岁的患者，共计4815次就诊。研究结果显示，全国未就诊率与本研究的未就诊率之间存在统计学上显著的平均比例差异，以及医生类型与就诊状态之间存在显著关联。结果表明，如果患者预约其首选的初级保健医生，先进预约排班有可能改善患者体验。本研究可为患者和临床医生提供有关先进预约排班重要性的认识，从而减少预约失约，促进积极的患者体验。
