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Using administrative innovation to address missed consultant outpatient appointments

机译：利用行政创新解决错过的顾问门诊预约

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An administrative innovation for booking outpatient appointments has been introduced in Wales, Scotland and Northern Ireland, variously known as 'patient-focussed booking' (PFB) and 'partial booking'. It has three distinct features: patients must confirm their wish to have an appointment; patients are given a choice of date, time and place for the appointment; and the appointment is booked only a short time in advance of the due date. Previous studies have shown a reduction in missed booked appointments, either because the patient could not attend (CNA) or did not attend (DNA). Our results, covering a more recent period, confirm these findings, and show they can be sustained for longer periods. The requirement that patients must confirm their wish to have an appointment can lead to some referrals not ending up as booked appointments. Some may choose to withdraw; others simply did not reply, 'non-responders'. Either way, those that do not are referred back to their GP. This study finds non-response was much less common that previous studies. However, it was common enough to offset the effect of PFB on missed booked appointments due to CNA and DNA. To that extent, the innovation did not make much change to civic disengagement, except for providers who are now better able to plan clinics.
机译：在威尔士，苏格兰和北爱尔兰引入了用于预约门诊病人的管理创新，分别称为“以患者为中心的预约”（PFB）和“部分预约”。它具有三个鲜明的特征：患者必须确认自己希望预约的资格；给患者选择约会的日期，时间和地点；并且约会仅在截止日期之前的很短时间内预订。先前的研究表明，由于患者无法参加（CNA）或未参加（DNA），错过预约的人数有所减少。我们的结果涵盖了最近的一段时间，证实了这些发现，并表明它们可以持续更长的时间。患者必须确认自己希望预约的要求可能导致某些转诊最终没有成为预约的预约。有些人可能选择退出；其他人根本没有回答“无响应”。不管哪种方式，那些没有被引用的都将被返回给他们的GP。这项研究发现，无反应的情况比以前的研究少得多。但是，这足以抵消PFB对由于CNA和DNA造成的未预定约会的影响。在这个程度上，除了提供服务的人现在能够更好地规划诊所之外，这项创新并没有对公民脱离做出太大改变。

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