Bigby J A, Pappius E, Cook E F, Goldman L
Arch Intern Med. 1984 Jun;144(6):1163-6.
"No-show" patients (n = 100) were matched by age and number of appointments scheduled in a six-month period with 100 control patients who kept an appointment. No-show patients were less likely than control patients to have chronic medical problems (78% v 94%, respectively) and to be receiving long-term medications (58% v 73%, respectively) at the time of entry into this study. At follow-up at 29 to 51 weeks, no-show and control patients did not differ significantly in the development of new medical problems or the exacerbation of old medical problems either before or after controlling for differences in baseline health status. No hospitalizations or deaths could be directly attributed to a missed appointment. No-show patients were more likely than control patients to say they felt better at follow-up (42% v 26%, respectively). No-show patients may believe the benefit of keeping an appointment is not worth the inconvenience or expense. We suggest that physicians should carefully justify the need for a follow-up visit and consider negotiating follow-up schedules with their patients.
“未就诊”患者（n = 100）与100名按时就诊的对照患者按年龄和六个月内预约就诊次数进行匹配。在进入本研究时，“未就诊”患者患慢性疾病的可能性低于对照患者（分别为78%对94%），且正在接受长期药物治疗的比例也低于对照患者（分别为58%对73%）。在29至51周的随访中，在控制基线健康状况差异之前或之后，“未就诊”患者和对照患者在新出现的医疗问题或旧有医疗问题的加重方面均无显著差异。没有住院或死亡可直接归因于错过预约。“未就诊”患者比对照患者更有可能表示在随访时感觉更好（分别为42%对26%）。“未就诊”患者可能认为按时就诊的益处不值得为此带来的不便或费用。我们建议医生应仔细说明随访就诊的必要性，并考虑与患者协商随访时间表。
