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耳鼻喉科患者未就诊背后的因素及原因分析:临床审计

Analyzing Factors and Reasons Behind NonAttendance of ENT Patients: Clinical Audit.

作者信息

Bahammam Faris Ahmed, Tolley Neil, Kuchai Romana, Benjamin Elliot, Rollin Matthew

机构信息

Imperial College Healthcare NHS Trust, London, UK.

出版信息

Ear Nose Throat J. 2024 Oct 7:1455613241283798. doi: 10.1177/01455613241283798.

DOI:10.1177/01455613241283798
PMID:39374084
Abstract

This study analyzed the frequency of follow-up patients at the ENT clinic and identified different factors that are associated with nonattendance at follow-up appointments since nonattendance imposes significant stress on the system of healthcare. This study was an ambidirectional cohort study and conducted a telephonic survey with 104 ENT patients who missed their appointments. The findings of the study revealed that patients missed their scheduled appointments because of transportation problems (46%), professional engagement (46%), family problems (44%), and financial problems (32.7%). However, patients didn't identify forgetfulness about the appointment, complete recovery, and health-related issues on the day of the appointment as the barrier to missing their scheduled appointment. The study assessed the relationship between socioeconomic status and the frequency of follow-up patients in an ENT clinic where transportation factor ( < .000), working commitments ( < .004) affecting the "Lower Middle and Middle Class" individuals, and financial problems ( < .005), family problems ( < .028), feeling sick ( < .037) were significantly affecting the "Middle-Upper Class" and "Middle Class." Meanwhile, forgetfulness was not associated with the socio-economic status of the ENT patients ( = .237). This study found transportation, family, financial issues, and professional commitments to be the key barriers to ENT appointment attendance, with Lower-Middle-Class patients particularly affected by forgetfulness. These missed appointments negatively impact patient health and strain the healthcare system.

摘要

本研究分析了耳鼻喉科诊所随访患者的频率,并确定了与随访预约未就诊相关的不同因素,因为未就诊给医疗系统带来了巨大压力。本研究是一项双向队列研究,对104名错过预约的耳鼻喉科患者进行了电话调查。研究结果显示,患者错过预约的原因包括交通问题(46%)、工作事务(46%)、家庭问题(44%)和经济问题(32.7%)。然而,患者并未将忘记预约、完全康复以及预约当天的健康相关问题视为错过预约的障碍。该研究评估了社会经济地位与耳鼻喉科诊所随访患者频率之间的关系,其中交通因素(<.000)、工作事务(<.004)对“中下层和中层阶级”个体有影响,而经济问题(<.005)、家庭问题(<.028)、感觉不适(<.037)对“中上阶层”和“中产阶级”有显著影响。同时,遗忘与耳鼻喉科患者的社会经济地位无关(=.237)。本研究发现,交通、家庭、经济问题和工作事务是耳鼻喉科预约就诊的关键障碍,中下层阶级患者尤其受遗忘的影响。这些错过的预约对患者健康产生负面影响,并给医疗系统带来压力。

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