Lloyd M, Bradford C, Webb S
Department of Public Health and Primary Care, Royal Free Hospital School of Medicine, London, UK.
Fam Pract. 1993 Jun;10(2):111-7. doi: 10.1093/fampra/10.2.111.
Non-attendance at outpatient clinics is a complex problem and previous studies have concentrated on hospital-related factors. It has been suggested that non-attendance might be related to the referral process, including the selection of patients for referral and the quality of communication between GP and patient. These issues are examined in a study of 1492 patients given first-time appointments at ENT and gastroenterology clinics. Non-attendance rates were 26 and 20% respectively. Non-attendance was not related to the nature, severity or duration of the patients' presenting problems at the time of referral or to their perception of the need for referral. Resolution of symptoms did not appear to be a major reason for non-attendance. Patients were significantly less likely to attend if they had been unable or only partly able to discuss their health problem with their general practitioner. Those who had requested referral were equally likely to default.
门诊未就诊是一个复杂的问题，以往的研究主要集中在医院相关因素上。有人认为，未就诊可能与转诊过程有关，包括患者转诊的选择以及全科医生与患者之间的沟通质量。在一项针对1492名首次在耳鼻喉科和胃肠病科诊所预约就诊的患者的研究中，对这些问题进行了调查。未就诊率分别为26%和20%。未就诊与患者转诊时出现问题的性质、严重程度或持续时间无关，也与他们对转诊必要性的认知无关。症状缓解似乎不是未就诊的主要原因。如果患者无法或只能部分地与全科医生讨论他们的健康问题，那么他们就诊的可能性会显著降低。那些要求转诊的患者违约的可能性同样高。
