介绍一下改善医疗服务预约遵守的干预措施
W M Macharia1, G Leon, B H Rowe
1Design, Measurement, and Evaluation Program, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada.
JAMA
|April 1, 1992
概括
通过使用提醒和患者参与策略,可以改善患者预约遵守情况. 邮寄提醒,电话和医生提示等干预措施有效减少错过的预约.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
- 医疗信息学 医疗信息学
背景情况:
- 患者不遵守预约是有效提供医疗保健的重要障碍.
- 提高对查,转诊和诊所访问的出席率对于患者的结果至关重要.
研究的目的:
- 通过对随机试验的元分析,量化评估各种策略在提高患者遵守医疗保健预约方面的有效性.
主要方法:
- 对MEDLINE和PSYCHLIT数据库进行了系统的文献搜索.
- 包括随机试验,包括对改善监督护理预约出席率的干预措施的定量数据.
- 使用聚合几率比率 (ORs) 进行数据提取和分析,由两个独立的审查员进行.
主要成果:
- 平均患者遵守率为58%.
- 邮件提醒 (OR,2.2) 和电话提示 (OR,2.9) 显著减少了约会中断.
- 其他有效的策略包括定向陈述 (OR,2.9),患者签约 (OR,1.9),医生提示 (OR,1.6).
结论:
- 邮寄提醒,电话提示和医生提醒等策略可以有效地减少错过的预约.
- 患者指导和合同也是改善医疗保健预约遵守的有价值的干预措施.
- 这些发现适用于诊所设置,在这些诊所中,预约保持是对患者合规性的可靠衡量标准.
相关概念视频
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