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首页> 外文期刊>Psychological medicine >Does an encouraging letter encourage attendance at psychiatric out-patient clinics? The Leeds PROMPTS randomized study
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Does an encouraging letter encourage attendance at psychiatric out-patient clinics? The Leeds PROMPTS randomized study

机译：一封令人鼓舞的信是否会鼓励他们去精神科门诊就诊？利兹PROMPTS随机研究

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Background. The aim was to reduce non-attendance for first-time consultations at psychiatric out-patient clinics. Method. The study was a pragmatic randomized controlled trial; the setting was seven inner-city UK out-patient clinics in Leeds. The participants were 764 subjects of working age with an appointment to attend a psychiatric out-patient clinic for the first time. The intervention was an 'orientation statement' letter delivered 24-48 h before the first appointment compared with standard care. The primary outcome measure was attendance at the first appointment; secondary outcomes included hospitalization, transfer of care, continuing attendance, discharge, presentation at accident and emergency and death by 1 year. Results. Follow-up was for 763 out of 764 subjects (>99%) for primary and for 755 out of 764 subjects (98.8%) of secondary outcome data. The orientation statement significantly reduced the numbers of people failing to attend [79 out of 388 v. 101 out of 376 subjects, relative risk 0.76, 95% confidence interval (CI) 0.59-0.98, number needed to treat 16,95% CI 10-187]. Conclusions. Prompting people to go to psychiatric out-patient clinics for the first time encourages them to attend. Pragmatic trials within a busy working environment are possible and informative.
机译：背景。目的是减少在精神科门诊就诊时的不便。方法。该研究是一项实用的随机对照试验。设置地点是在利兹的七个英国城市中心门诊。参加者为764个工作年龄的受试者，首次预约就诊于精神科门诊。与标准护理相比，干预措施是在初次就诊前24-48小时发出“定向声明”信。主要结局指标是初次就诊。次要结局包括住院，一年内转诊，继续出诊，出院，在事故和紧急情况下就诊以及死亡。结果。随访的主要结果是764名受试者中的763名（> 99％），次要结果数据中的764名受试者中的755名（98.8％）。定向声明显着减少了未参加会议的人数[在388位受试者中，有388人中有79人。在376名受试者中，有101人，相对风险0.76，95％置信区间（CI）为0.59-0.98，治疗16,95％CI所需的人数10 -187]。结论。促使人们第一次去精神科门诊诊所鼓励他们参加。在繁忙的工作环境中进行务实的尝试是可能且有益的。

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