Brown D C, Phillips J, Edmunds A T, Marshall T G, Uttley W S
Royal Hospital for Sick Children, Edinburgh.
Health Bull (Edinb). 1995 Sep;53(5):269-73.
All medical out-patient appointments of a firm of three consultants at the Royal Hospital for Sick Children were reviewed over a four week period. Of 758 appointments initially offered, 490 (64%) patients attended; 19% of patients cancelled and 17% did not attend without cancelling. Delay from referral to attendance ranged from 0 to 9 weeks. The characteristics of those patients experiencing prolonged registrar-only follow-up are described. The content of subsequent letters to family practitioners was usually adequate compared to accepted standards. Delays in dictation of letters were usually short in comparison to delays in typing. Such delays and the intervals between consultant review of out-patients may prove costly to providers. Potential improvement strategies are discussed.
对皇家儿童医院三名顾问医生所在科室四周内所有的门诊预约情况进行了审查。在最初安排的758个预约中，490名（64%）患者前来就诊；19%的患者取消了预约，17%的患者未取消预约也未前来就诊。从转诊到就诊的延迟时间为0至9周。描述了那些仅由住院医生进行长期随访的患者的特征。与公认标准相比，随后写给家庭医生的信件内容通常是充分的。与打字延迟相比，信件听写延迟通常较短。此类延迟以及顾问医生门诊复查之间的间隔可能会给医疗机构带来高昂成本。文中讨论了潜在的改进策略。
