Hertz P, Stamps P L
Am J Public Health. 1977 Nov;67(11):1033-6. doi: 10.2105/ajph.67.11.1033.
Many of the traditional approaches to the problem of appointment-keeping behavior have ignored the organizational factors that may be implicated in differentially high broken appointment rates leading to an implicit assumption that low-income and ethnic minority patients will be more likely to break appointments. A case study at a Model Cities Health Center which maintains a kept appointment rate of 85 per cent examined the relationship of broken appointments to age, sex, ethnic background, and payment mechanisms. The results suggest alternative explanations for differentially high broken appointments centering on the role of the institution in reinforcing appointment-keeping behavior.
许多处理爽约行为问题的传统方法都忽略了可能与不同程度的高爽约率有关的组织因素，从而隐含地假定低收入和少数族裔患者更有可能爽约。在一个保持85%预约成功率的示范城市健康中心进行的一项案例研究，考察了爽约与年龄、性别、种族背景和支付方式之间的关系。结果提出了关于不同程度的高爽约率的其他解释，这些解释聚焦于机构在强化守约行为方面的作用。
