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  1. How do clinicians respond to patients who miss appointments ?

    Article - En anglais

    Background 

    Although patients miss up to 60% of scheduled outpatient appointments, little is known about how clinicians respond to « no-shows. » In an effort to determine how clinicians customarily handle missed appointments, we surveyed mental health clinicians and internists at 2 academic hospitals : a private psychiatric hospital and an urban general hospital.

    Method 

    An anonymous questionnaire survey was mailed to psychiatrists, psychologists, and social workers at both hospitals and to internists at the general hospital.

    Clinicians were surveyed about their usual response to psychotherapy, psychopharmacology, and internal medicine patients who miss appointments.

    Results 

    Among the 356 responses (39.5%) to 902 mailed questionnaires, there was substantial variability in clinicians'reported handling of « no-show » patients, although psychiatrists tended to be initially less active in pursuing patients than were nonphysician therapists and internists.

    A number of clinical variables were associated with clinicians'responses including the perceived risk of a bad outcome, hospital site, support staff availability, and billing practices.

    Conclusion 

    The results suggest that clinicians'responses to missed appointments are determined by a complex mixture of influences rather than adherence to a readily definable « standard of care ».

    Mots-clés Pascal : Psychiatre, Attitude, Consultation, Observance thérapeutique, Pratique professionnelle, Personnel sanitaire, Santé mentale, Homme

    Mots-clés Pascal anglais : Psychiatrist, Attitude, Consultation, Treatment compliance, Professional practice, Health staff, Mental health, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0371682

    Code Inist : 002B18H04. Création : 25/01/1999.