天气模式,患者和预约特征与冰眼病诊所的取消和不出诊所相关
Israel Ojalvo1,2, Nikki Mehran1,3, James Sharpe4,5
1Glaucoma Service, Wills Eye Hospital, Philadelphia, Pennsylvania, USA.
Ophthalmic epidemiology
|December 18, 2024
概括
在格劳科马诊所中,患者预约的不出现和取消与距离,天气和预约类型等因素有关. 了解这些预测因素可以帮助改善患者的随访和保留率.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
- 数据科学数据科学数据科学
背景情况:
- 患者不出现和取消医疗服务对医疗保健构成重大挑战,影响诊所效率和患者获得医疗服务.
- 格劳科马诊所,特别是需要持续的患者随访,以有效管理疾病和维护视力.
研究的目的:
- 确定与格洛科马诊所的预约不出现和取消相关的人口,临床和环境因素.
- 分析出行距离和天气条件对患者出席率的影响.
主要方法:
- 一项回顾性观察性研究分析了两年来 (从2017年6月至2019年5月) 7,383名患者在一家青光眼诊所的36810次访问.
- 收集了患者人口统计,诊所信息和天气数据. 使用Bing地图API计算出旅行距离.
- 访问被分类为保留,取消或不出现,并使用双变量和多变量后勤回归分析.
主要成果:
- 有关取消的重要因素包括平均降雪量,风暴事件,新访问,后续预约和超过15英里的旅行距离.
- 与没有出现相关的因素包括居民诊所状态,新访问,后续预约,年龄,平均降雪量,风暴事件,平均风速和超过15英里的旅行距离.
- 在15英里范围内,患者的无病率较高,但取消率较低.
结论:
- 患者的年龄,性别,旅行距离,预约类型和天气是对玻璃眼科诊所不出现和取消的重要预测因素.
- 识别这些风险因素可以为加强预约遵守和患者保留提供干预信息.
- 天气是患者随访中未被充分研究的一个因素,值得进一步研究.
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