Garrett T J, Ashford A, Savage D G
Cancer. 1986 Aug 1;58(3):793-5. doi: 10.1002/1097-0142(19860801)58:3<793::aid-cncr2820580330>3.0.co;2-b.
Compliance in oncology clinic attendance was prospectively evaluated over a 12-month period at Harlem Hospital Center, an inner city municipal facility serving a predominantly black population. One hundred patients were followed (97 blacks, 2 Hispanics, 1 white) with an average age of 60 years. There were 41 men and 59 women. Thirty-one patients had breast cancer, 23 lung cancer, 26 miscellaneous solid tumors, and 20 hematologic malignancies. Forty-two patients received chemotherapy, 14 hormonal therapy, and 44 supportive care alone. Of the 657 appointments scheduled for the total group, 583 (89%) were kept. All scheduled appointments were kept by 53% of patients and 80% or more were kept by 69% of patients. There was no statistically significant difference in clinic attendance according to sex, age younger than 50 years, tumor category, or mode of therapy. Reasons for missing appointments included the patient forgot or was confused (7 cases), weather (5), transportation difficulties (5), clerical error (3), and refusal of further chemotherapy (1). A high rate of clinic attendance is reported in this group of patients with multiple social and financial problems. Such patients are appropriate candidates for treatment protocols requiring frequent clinic visits.
在哈莱姆医院中心（一家主要为黑人人口服务的市中心城市医疗机构），对肿瘤门诊就诊依从性进行了为期12个月的前瞻性评估。随访了100名患者（97名黑人、2名西班牙裔、1名白人），平均年龄60岁。其中男性41名，女性59名。31名患者患有乳腺癌，23名患有肺癌，26名患有其他实体瘤，20名患有血液系统恶性肿瘤。42名患者接受化疗，14名接受激素治疗，44名仅接受支持治疗。在为整个组安排的657次预约中，583次（89%）得到遵守。53%的患者遵守了所有预定预约，69%的患者遵守了80%或更多的预约。根据性别、年龄小于50岁、肿瘤类别或治疗方式，门诊就诊率没有统计学上的显著差异。错过预约的原因包括患者忘记或混淆（7例）、天气（5例）、交通困难（5例）、文书错误（3例）以及拒绝进一步化疗（1例）。在这组存在多种社会和经济问题的患者中，报告了较高的门诊就诊率。这类患者适合参加需要频繁门诊就诊的治疗方案。
