Moser S E
University of Kansas School of Medicine-Wichita Family Practice Residency Program, Wesley Medical Center.
Fam Pract Res J. 1994 Sep;14(3):281-8.
This study measures the effectiveness of post card appointment reminders in a residency-based family practice center.
Outcomes of 1,380 consecutive appointments before institution of reminders were compared with 1,303 appointments afterward. Then, 140 patients were informally surveyed in follow-up.
Before reminders, overall office no-show rate was 13.0%, cancellations were 19.4%, and arrivals were 67.6%. No-shows correlated with length of time from scheduling date to appointment date, seeing a resident rather than faculty, and patient payment classification (p < 0.0001). Post card reminders did not significantly improve arrivals by patients or change no-shows to cancellations. The reminders were well received by patients.
Post card appointment reminders were simple to institute and appreciated by patients but had little effect on improving appointment-keeping behavior.
本研究评估在以住院医师为主的家庭医疗中心使用明信片预约提醒的效果。
将实施提醒措施之前连续1380次预约的结果与之后1303次预约的结果进行比较。然后，对140名患者进行了随访非正式调查。
在实施提醒措施之前，整体门诊未到诊率为13.0%，取消预约率为19.4%，就诊率为67.6%。未到诊与从预约日期到就诊日期的时间长度、由住院医师而非教员看诊以及患者付费类别相关（p < 0.0001）。明信片提醒并未显著提高患者的就诊率，也未将未到诊转变为取消预约。这些提醒受到了患者的好评。
明信片预约提醒实施简单且受患者欢迎，但对改善守约行为作用不大。
