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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1995-7-26
|
| pubmed:abstractText |
Timely use of necessary follow-up services is an important dimension of ambulatory care quality. Using a hospital-based walk-in center, this study identified patients who were referred for follow-up care and examined factors related to compliance with these referrals. The participants were 696 adults seen in a hospital-based walk-in unit between June 1, 1992, and December 1, 1992. Patients completed a self-administered questionnaire including questions about sociodemographic characteristics, prior use of health services, and the Medical Outcomes Study (MOS) 36-Item Health Survey. Medical findings, follow-up recommendations, insurance status, and compliance with follow-up referrals were ascertained using chart review, the hospital's computing system, and clinic records. Fifty percent of the patients were referred for follow-up medical care; 55% of these complied with follow-up referrals. Factors associated with referral for follow-up care included older age, inability to afford a physician, longer duration of chief complaint, the patient's belief that follow-up care would be needed, and worse MOS pain score. The most important factor associated with compliance with follow-up referral was scheduling appointments while patients were still in the walk-in unit. Patients with such scheduled appointments were almost 10 times more likely than others to receive follow-up (adjusted odds ratio = 9.6, 95% confidence interval = 4.4-21.2). The most important step a provider can take to improve compliance with follow-up referral is to schedule appointments before patients are sent home. This should presumably improve quality of ambulatory care.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
1062-8606
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
10
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
81-7
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:7787503-Adult,
pubmed-meshheading:7787503-Age Factors,
pubmed-meshheading:7787503-Aged,
pubmed-meshheading:7787503-Ambulatory Care,
pubmed-meshheading:7787503-Boston,
pubmed-meshheading:7787503-Continuity of Patient Care,
pubmed-meshheading:7787503-Female,
pubmed-meshheading:7787503-Follow-Up Studies,
pubmed-meshheading:7787503-Humans,
pubmed-meshheading:7787503-Male,
pubmed-meshheading:7787503-Middle Aged,
pubmed-meshheading:7787503-Outcome and Process Assessment (Health Care),
pubmed-meshheading:7787503-Outpatient Clinics, Hospital,
pubmed-meshheading:7787503-Patient Acceptance of Health Care,
pubmed-meshheading:7787503-Patient Compliance,
pubmed-meshheading:7787503-Questionnaires,
pubmed-meshheading:7787503-Referral and Consultation,
pubmed-meshheading:7787503-Socioeconomic Factors
|
| pubmed:year |
1995
|
| pubmed:articleTitle |
Use of follow-up services by patients referred from a walk-in unit: how can patient compliance be improved?
|
| pubmed:affiliation |
Department of Medicine, Harvard Medical School, Boston, MA, USA.
|
| pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
|