Rice J M, Lutzker J R
J Appl Behav Anal. 1984 Fall;17(3):303-11. doi: 10.1901/jaba.1984.17-303.
In this study, we evaluated follow-up appointment keeping at a family practice center. To determine if noncompliance could be reduced, four treatments were implemented: no-treatment control, modified appointment card, free follow-up, and a reduced rate follow-up. Thereafter, the reduced rate follow-up was implemented again to determine the extent noncompliance could be reduced for all eligible patients. Incentives significantly increased follow-up appointment keeping, whereas the modified appointment card was ineffective. A cost analysis suggested that the no-treatment control and modified appointment card conditions were the least expensive, but also the least effective. The incentive conditions were more expensive, but the reduced rate condition generated the most net revenue. Questionnaire data suggested that the incentive conditions had an effect on noncompliance and may be considered for use in other medical settings.
在本研究中，我们评估了一家家庭医疗中心的随访预约遵守情况。为了确定是否可以减少不遵守情况，实施了四种治疗方法：无治疗对照、修改后的预约卡、免费随访和降低费用的随访。此后，再次实施降低费用的随访，以确定所有符合条件的患者的不遵守情况可以减少的程度。激励措施显著提高了随访预约的遵守率，而修改后的预约卡则无效。成本分析表明，无治疗对照和修改后的预约卡情况成本最低，但效果也最差。激励措施成本更高，但降低费用的情况产生的净收入最高。问卷调查数据表明，激励措施对不遵守情况有影响，可考虑在其他医疗环境中使用。
