Pang A H, Lum F C, Ungvari G S, Wong C K, Leung Y S
Prince of Wales Hospital, Shatin, NT, Hong Kong.
Soc Psychiatry Psychiatr Epidemiol. 1996 Sep;31(5):299-302. doi: 10.1007/BF00787924.
This paper describes a prospective follow-up study of defaulters of regular psychiatric outpatient appointments in Hong Kong. To establish outcome, 258 patients were traced 6 months after their non-attendance at a follow-up clinic. Results showed that 50% returned while the rest dropped out of treatment. The clinical and demographic variables, including employment, marriage, being seen by faculty rather than resident staff, a past history of default and shorter length of contact at the clinic studied (within a year), were all significant in predicting drop-out. There was a trend for those who reattended to have received a telephone reminder, to be a student and to be single. Out of the 129 drop-out patients, 84 were traced, 23 were admitted to hospital and 5 died. There were no deaths and only 5 patients required hospitalisation among the attenders. We concluded that active reengagement of psychiatric outpatient defaulters is required.
本文描述了一项针对香港定期精神科门诊预约失约者的前瞻性随访研究。为了确定结果，对258名未到随访门诊就诊6个月后的患者进行了追踪。结果显示，50%的患者复诊，其余患者退出治疗。临床和人口统计学变量，包括就业、婚姻状况、由教员而非住院医师诊治、既往失约史以及在研究诊所的较短接触时间（一年内），在预测退出治疗方面均具有显著意义。复诊患者有收到电话提醒、是学生且单身的趋势。在129名退出治疗的患者中，追踪到84名，23名入院，5名死亡。复诊患者中无死亡病例，仅5名患者需要住院治疗。我们得出结论，需要积极促使精神科门诊失约者再次就诊。
