通过增强的预约提醒系统,提高患者的预约遵守率
Yaneth Flores1, Rhonda Winegar2
1University of Texas at Arlington, Arlington, TX, USA yansalflo@yahoo.com.
Journal of doctoral nursing practice
|February 14, 2026
概括
实施增强的预约提醒程序显著降低了门诊诊所的不出诊率. 这项质量改进计划改善了患者的合规性和诊所的收入.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高质量
- 患者护理 患者护理
背景情况:
- 没有出现的访问会对患者的结果和诊所效率产生负面影响.
- 项目现场的高不出现率为29%,超过了全国平均水平的18%.
- 门诊诊所面临的挑战是,由于错过的预约,预约安排效率低下.
研究的目的:
- 通过改进的预约提醒系统,降低门诊中未出诊率.
- 通过优化预约提醒策略来提高患者出勤率和诊所收入.
- 分析延长预约提醒电话从前一到三天的影响.
主要方法:
- 在美国西南部的一家门诊进行了一项质量改善项目.
- 实施了增强的预约提醒程序,将电话延长到预约前3天.
- 在12天的时间内,对患者的预约出席率进行了监测.
主要成果:
- 没有出现率显著下降,从29%降至21% (p < .001).
- 该诊所在12天的观察期内节省了5200美元.
- 年龄,支付人来源和通知时间是不出现的重要预测因素 (p < .001).
结论:
- 增强的提醒程序有效地改善了约会遵守.
- 在预约前3-5天打电话给患者是有利于减少没有出现的情况.
- 该计划对诊所的收入和运营效率产生了积极影响.
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