更长的预约时间减少了未来在安全网诊所中错过的预约
Omolola E Adepoju1, Winston Liaw, Charles D Phillips
1University of Houston, 5055 Medical Circle, Houston, TX 77204.
The American journal of managed care
|February 20, 2025
概括
更长的预约时间与更少的错过预约有关. 延长预约时间可能会改善患者的护理和健康结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床操作 临床操作
- 患者访问 患者访问
背景情况:
- 错过的预约是医疗保健提供的一个重大挑战,影响了资源分配和患者的结果.
- 了解与错过预约相关的因素对于开发有效干预措施至关重要.
研究的目的:
- 调查先前预约的持续时间与错过后续预约的比例之间的关联.
- 确定影响错过预约率的人口,地理和临床因素.
主要方法:
- 一项回顾性队列研究使用德克萨斯州一个大型联邦合格卫生中心网络的数据进行.
- 混合效应物流回归被用来分析先前约会时间和错过的约会之间的关系,控制各种共变量.
- 这项研究包括28,090名独一无二的患者和56,180名预约.
主要成果:
- 较长的预约时间与较低的错过预约可能性显著相关 (OR,0.90;95% CI,0.88-0.92).
- 诸如西班牙裔或非西班牙裔黑人种族,缺乏保险和离诊所更远的因素增加了错过预约的几率.
- 相反,生活在医疗服务不足的地区 (MUA),有多次访问的历史,访问之间的更长的间隔,以及与医生安排的预约,与减少错过的预约有关.
结论:
- 之前的预约的持续时间与未来的错过预约率相反相关.
- 旨在增加预约时间的策略可能有利于改善医疗保健质量和患者健康结果.
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