A randomized prospective study was made to compare two interventions to improve compliance with follow-up appointments (FA) after a pediatric emergency department (ED) visit.
The study population was 253 patients and families seen during daytime hours at a large pediatric ED and who required follow-up for their diagnosed condition.
A control group of patients were told to call the clinic for FA, an appointment group of patients were given a FA in the ED prior to discharge and written reminder, and an intense group of patients were given a FA in the ED prior to discharge, a written reminder ; they were offered a work excuse, child care, and transportation assistance ; they were sent mailed reminders and had attempts at telephone reminders.
More patients in the appointment group (47%, P<0.001) and intense group (52%, P<0.001) kept FA than the control group (24%). Attempted telephone contact was unsuccessful in 39% of the intense group.
When telephone contact was successful, patients were more likely to keep FA (62 vs 38%, P<0.04).
Families left to make their own FA did so only 32% of the time.
Medical record review of ED and clinic visits for one year after intervention indicated no long-term behavior change in appointment-making behavior or ED use in any group.
It was concluded that providing a convenient FA prior to ED discharge improves compliance with clinic follow-up.
If telephone contact is successful, telephone reminders also improve compliance.
Mots-clés Pascal : Consultation hospitalière, Service hospitalier, Urgence, Comportement individuel, Surveillance, Evaluation performance, Qualité, Soin, Enfant, Recommandation, Période posthospitalière, Suivi malade, Homme
Mots-clés Pascal anglais : Hospital consultation, Hospital ward, Emergency, Individual behavior, Surveillance, Performance evaluation, Quality, Care, Child, Recommendation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0229072
Code Inist : 002B30A03B. Création : 199608.