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首页> 外文期刊>Clinical Pediatrics >Factors affecting missed appointment rates for pediatric patients insured by medicaid in a traditional hospital-based resident clinic and hospital-owned practice settings.
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Factors affecting missed appointment rates for pediatric patients insured by medicaid in a traditional hospital-based resident clinic and hospital-owned practice settings.

机译：在传统的以医院为基础的住院医生诊所和医院拥有的医疗机构中，影响受医疗补助保险的儿科患者错过预约率的因素。

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SUMMARY: Missed appointment rates (MAR) of pediatric patients insured by Medicaid and seen in a traditional hospital-based continuity (teaching) clinic were compared to the rates for the same patients after their care had been transitioned to a community practice. The hypothesis is that when rewarded with shorter waiting times, a less chaotic environment, and more pediatrician continuity, the MAR for patients insured by Medicaid would be lower in the practice setting than it had been in continuity clinic. The MAR decreased from 33% in the continuity clinic in 1999 to 18% in the community practice in 2001 (p<0.01). It was also hypothesized that the MAR for patients insured by Medicaid would be higher in practices with a higher percentage of Medicaid appointments. Among 15 hospital-owned pediatric practices, the MAR for patients insured by Medicaid was positively correlated with the percentage of total appointments that were made by patients insured by Medicaid (correlation coefficient 0.706 [p<0.01]). Clin Pediatr. 2004;43:749-752.
机译：摘要：将由Medicaid保险并在传统的基于医院的连续性（教学）诊所中看到的小儿患者的误诊率（MAR）与相同患者的护理已转变为社区实践后的误诊率进行了比较。假设是，如果获得更短的等待时间，更少的混乱环境和更多的儿科医师连续性，那么在医疗机构中，由Medicaid保险的患者的MAR将比连续性诊所中的MAR低。 MAR从连续性诊所的1999年的33％下降到2001年的社区实践的18％（p <0.01）。还假设，在医疗补助任命比例较高的实践中，由医疗补助保险的患者的MAR将更高。在15家医院拥有的儿科诊所中，由Medicaid承保的患者的MAR与由Medicaid承保的患者在总预约中所占的百分比呈正相关（相关系数0.706 [p <0.01]）。临床儿科。 2004; 43：749-752。

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