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[未按预约就诊的不依从原因及相关因素]

[Causes of non-compliance and associated factors in non-attendance of scheduled consultation].

作者信息

Sánchez Muñoz C, Gómez-Calcerrada Jiménez R, González Sánchez M, Orueta Sánchez R

机构信息

Centro de Salud Sillería, Toledo.

出版信息

Aten Primaria. 1996 Jan;17(1):34-8.

PMID:8742142
Abstract

OBJECTIVE

To find the degree of non-attendance at scheduled consultations and associated factors, with the aim of introducing the necessary corrective measures.

DESIGN

An analytic observational study.

SETTING

Sillería Health Centre, Toledo.

PATIENTS

People on a medical list with scheduled medical and/or nursing appointments over the period of a year.

MEASUREMENTS AND MAIN RESULTS

There were 253 cases of non-attendance (13.16%) out of a total of 1,922 scheduled consultations. Different variables were analysed, with statistically significant results being found in user's age and profession (p < 0.01), season of the year (p = 0.00067), the number of previous appointments (p < 0.01) and the number of previous non-attendances (p < 0.001). A profile of the non-attender emerged as: a young person, unemployed or student, single or separated, with average or higher education and who makes an appointment for control of risk factors cardiovascular, to open a medical history or for pregnancy monitoring.

CONCLUSIONS

The level of attendance using present appointment methodology is acceptable. Nevertheless we believe a change of strategy, which would involve the community more both in preventive activities and in taking responsibility for their own attendance is needed.

摘要

目的

确定预约会诊的未到诊率及其相关因素,以便采取必要的纠正措施。

设计

一项分析性观察研究。

地点

托莱多市西勒里亚健康中心。

患者

一年内有预约医疗和/或护理会诊的人员名单上的人群。

测量与主要结果

在总共1922次预约会诊中,有253例未到诊(13.16%)。对不同变量进行了分析,结果发现用户的年龄和职业(p < 0.01)、一年中的季节(p = 0.00067)、之前预约的次数(p < 0.01)以及之前未到诊的次数(p < 0.001)具有统计学意义。未到诊者的特征如下:年轻人,失业或学生,单身或分居,受过中等或高等教育,预约目的是控制心血管危险因素、建立病历或进行孕期监测。

结论

采用目前的预约方法,就诊率处于可接受水平。然而,我们认为需要改变策略,让社区更多地参与预防活动,并对自身就诊负责。

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