自动提醒是否减少了门诊息医学诊所的不出诊次?
Ruth L Lagman1, Renato V Samala1, Ahed Makhoul1
1The Lois U. and Harry R. Horvitz Palliative Medicine Program, Department of Palliative and Supportive Care, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
The American journal of hospice & palliative care
|March 24, 2025
概括
患者不出现会影响医疗保健. 这项研究发现,虚拟访问和服务不足地区的患者的不出现率更高. 患者服务协调员 (PSC) 的呼叫也与未出现病例的增加有关.
科学领域:
- 医疗保健管理的管理
- 患者访问 患者访问
- 健康差异 在健康上的差异
背景情况:
- 没有出现的预约会对患者的结果和医疗保健系统产生负面影响.
- 使用自动预约确认和患者服务协调员 (PSC) 呼叫来减少没有出现的情况.
- 了解不同类型的预约和患者人口统计数据中的不出现率对于优化护理提供至关重要.
研究的目的:
- 为了确定PSC电话与自动确认方法的不显示率.
- 为了比较面对面和虚拟 (远程医疗) 访问的不出现率.
- 为了确定服务不足地区 (社区外展区 - COZ) 的患者是否有更高的无病率.
主要方法:
- 从2023年1月到6月对电子医疗记录的回顾性审查.
- 收集了完成,取消和未出访的数据,用于面对面和虚拟约会.
- 分析了数据,考虑了自动提醒,PSC电话和COZ内的患者居住地.
主要成果:
- 总体而言,没有出席率为6% (455/8054个约会).
- 虚拟访问有较高的没有出现率 (9%) 与面对面访问 (5%).
- 通过PSC电话 (OR 1.57) 确认的患者和COZ (OR 1.88) 患者的没有显示的概率明显更高. 在COZ的虚拟访问也显示了较高的不出现率 (OR 1.65).
结论:
- 患者服务协调员 (PSC) 的电话与没有出现率的增加有关.
- 居住在服务不足的社区外展区 (COZ) 的患者出现不出现率较高,特别是虚拟预约.
- 虚拟访问和特定的患者群体需要有针对性的策略来缓解没有预约的预约.
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