Lim L E, Poo K P, Lein T, Chew S K
Woodbridge Hospital, Institute of Mental Health, Singapore.
Singapore Med J. 1995 Aug;36(4):403-5.
Patients who failed to attend psychiatric outpatient follow-up were compared with a group of comprising regular attenders. There were 71 defaulters out of 1,664 appointments given during the study period. Schizophrenia was the most common diagnosis. The defaulters did not differ from the controls in terms of age, sex, ethnicity, occupational or marital status. The unemployed were not more likely to be regular, instead, the better educated, shorter intervals between appointments and those given morning appointments were. Those solely on oral medication were more likely to default. The largest proportion gave reasons of work commitments and of not being free to attend; others claimed they had forgotten their appointments or had lost their appointment cards. Patients who said they did not come because they felt well or still had medication were cause for concern because of possible lack of insight and non-compliance with their medication.
将未参加精神科门诊随访的患者与一组定期就诊的患者进行比较。在研究期间给出的1664次预约中，有71人未就诊。精神分裂症是最常见的诊断。未就诊者在年龄、性别、种族、职业或婚姻状况方面与对照组没有差异。失业者并非更有可能定期就诊，相反，受教育程度较高、预约间隔时间较短以及安排在上午就诊的人更有可能定期就诊。仅服用口服药物的患者更有可能未就诊。最大比例的人给出的理由是工作原因和没有时间就诊；其他人声称他们忘记了预约或丢失了预约卡。那些表示因为感觉良好或仍有药物而未就诊的患者令人担忧，因为可能缺乏洞察力且不遵守药物治疗。
