Dini E F, Linkins R W, Chaney M
National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga, USA.
Arch Pediatr Adolesc Med. 1995 Aug;149(8):902-5. doi: 10.1001/archpedi.1995.02170210076013.
To evaluate the effectiveness of computer-generated telephone reminder calls in increasing kept appointment rates in a public health setting.
Randomized controlled trial.
Public health clinic, Georgia.
Five hundred seventeen clients with scheduled appointments during a 4-week period at immunization, women, infant, and children; well-child; or family-planning programs.
A single computer-generated telephone reminder 1 day before each client's scheduled appointment.
Rates of kept appointments.
Of the 277 clients assigned to receive the intervention, 144 (52%) kept their appointments, compared with only 78 (32.5%) of 240 who were not assigned to receive a message (P < .05). Improvement in kept appointment rates associated with receiving the message was highest for the immunization-program (183% increase, P < .05), with increases of 64%, 53%, and 44% for the well-child; women, infant, and children; and family-planning programs, respectively.
These results suggest a simple and effective method to increase kept appointment rates in a variety of public health programs.
评估在公共卫生环境中，通过计算机生成电话提醒来提高预约就诊率的有效性。
随机对照试验。
佐治亚州的公共卫生诊所。
在4周内，有免疫接种、妇女、婴儿及儿童保健、健康儿童或计划生育项目预约的517名患者。
在每位患者预约就诊前1天，通过计算机生成一次电话提醒。
预约就诊率。
在分配接受干预的277名患者中，144名（52%）按时就诊，而在未分配接收提醒信息的240名患者中，只有78名（32.5%）按时就诊（P < 0.05）。接受提醒信息后，免疫接种项目的预约就诊率提高幅度最大（提高了183%，P < 0.05），健康儿童、妇女、婴儿及儿童保健、计划生育项目的预约就诊率分别提高了64%、53%和44%。
这些结果表明，有一种简单有效的方法可提高各类公共卫生项目的预约就诊率。
