This paper describes a prospective follow-up study of defaulters of regular psychiatric outpatient appointments in Hong Kong.
To establish outcome, 258 patients were traced 6 months after their non-attendance at a follow-up clinic.
Results showed that 50% returned while the rest dropped out of treatment.
The clinical and demographic variables, including employment, marriage, being seen by faculty rather than resident staff, a past history of default and shorter length of contact at the clinic studied (within a year), were all significant in predicting drop-out.
There was a trend for those who reattended to have received a telephone reminder, to be a student and to be single.
Out of the 129 drop-out patients, 84 were traced, 23 were admitted to hospital and 5 died.
There were no deaths and only 5 patients required hospitalisation among the attenders.
We concluded that active reengagement of psychiatric outpatient defaulters is required.
Mots-clés Pascal : Trouble psychiatrique, Consultation psychiatrique, Abandon traitement, Observance thérapeutique, Ambulatoire, Démographie, Antécédent, Statut social, Evolution, Etude longitudinale, Hong Kong, Asie, Homme
Mots-clés Pascal anglais : Mental disorder, Psychiatric consultation, Treatment dropout, Treatment compliance, Ambulatory, Demography, Antecedent, Social status, Evolution, Follow up study, Hong Kong, Asia, Human
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0441685
Code Inist : 002B18H05B. Création : 10/04/1997.