Burgoyne R W, Acosta F X, Yamamoto J
Am J Psychiatry. 1983 Mar;140(3):345-7. doi: 10.1176/ajp.140.3.345.
Although it has been commonly taught and has been reported elsewhere that telephone prompting increases the rate at which patients keep their first outpatient clinic appointment, this study indicated that the increased rate at which patients kept their first appointment was more likely related to socioeconomic factors (such as having a telephone) than to telephone prompting. The authors conclude that measures to improve services to patients need to be carefully scrutinized before one can assume that results following initiation of a new procedure are in fact due to that procedure.
尽管一直以来普遍认为并在其他地方也有报道称电话提醒能提高患者遵守首次门诊预约的比例,但这项研究表明,患者首次预约遵守率的提高更可能与社会经济因素(如有电话)有关,而非电话提醒。作者得出结论,在假定一项新举措实施后的结果实际上是该举措所致之前,需要仔细审查改善患者服务的措施。