Carrion P G, Swann A, Kellert-Cecil H, Barber M
Department of Psychiatry, University of Texas Medical School, Houston 77030.
Hosp Community Psychiatry. 1993 Aug;44(8):764-7. doi: 10.1176/ps.44.8.764.
The purposes of the study were to determine rates of compliance with appointments among patients with schizophrenia who had been treated for more than four years in an outpatient clinic, to explore reasons for missed appointments, and to determine whether treatment modalities affected compliance rates.
Chi square analysis was used to compare attendance rates over a 12-month period of 55 patients who were nonrandomly assigned to a monthly group and 56 patients who were nonrandomly assigned to be seen in individual treatment every one to two months. Patients were asked to give reasons for missed appointments.
From 71 to 86 percent of the patients kept their clinic appointments each month. Forgetting the appointment and transportation difficulties were the most common reasons for nonattendance. Compliance rates of patients in the two treatment modalities differed during only three of the 12 months: during two of those months subjects in individual treatment had higher compliance rates than those in groups.
The results suggest that treatment modality has little impact on compliance and that compliance may be increased by letter and phone prompts and by staff awareness of patients' problems such as transportation and finances.
本研究旨在确定在门诊接受治疗超过四年的精神分裂症患者的预约依从率，探究错过预约的原因，并确定治疗方式是否会影响依从率。
采用卡方分析比较55名非随机分配到每月就诊组的患者和56名非随机分配为每1至2个月接受个体治疗的患者在12个月期间的就诊率。患者被要求说明错过预约的原因。
每月有71%至86%的患者遵守门诊预约。忘记预约和交通困难是最常见的未就诊原因。在12个月中的仅3个月里，两种治疗方式的患者依从率存在差异：在其中2个月中，接受个体治疗的患者依从率高于接受小组治疗的患者。
结果表明治疗方式对依从率影响不大，通过信件和电话提醒以及工作人员对患者交通和财务等问题的关注，依从率可能会提高。
