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Toward a better understanding of dental appointment-keeping behavior

机译:更好地了解保持牙齿约会的行为

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Objective: Broken appointments cause adverse outcomes in healthcare systems: They interrupt continuity of care, waste resources, affect workflow, and reduce population-wide access to care. A better understanding of dental appointment-keeping behavior would support efforts toward designing novel interventions aimed at reducing rates of broken appointments. Methods: The authors conducted a conceptual review of quantitative and qualitative research on dental appointment-keeping in the United States. Results: Research in this area is limited. Providers tend to use a blunt instrument to improve appointment-keeping: a system of reminder calls. There is evidence that patients with higher rates of broken dental appointments are the very ones who are most in need of care. Appointment-keeping barriers are multifactorial and related to social issues. They can be described as falling into three overlapping categories: psychological barriers, structural barriers, and health literacy barriers. Conclusions: Appointment-keeping interventions could simultaneously address social factors that exacerbate illness and improve workflow and finances. There arises an opportunity to design innovative patient-centered interventions tailored to particular barriers.
机译:目标:约会失败会导致医疗保健系统出现不良后果:它们会中断护理的连续性,浪费资源,影响工作流程并减少全民获得护理的机会。对保持牙科预约行为的更好理解将有助于设计新颖的干预措施,以减少预约失败的发生率。方法:作者对美国预约牙科的定量和定性研究进行了概念回顾。结果:该领域的研究有限。提供者倾向于使用钝器来改善约会的保持性:提醒电话系统。有证据表明,最需要护理的患者是牙齿残缺率较高的患者。保持约会的障碍是多方面的,并且与社会问题有关。可以将它们分为三类重叠的类别:心理障碍,结构性障碍和健康素养障碍。结论:预约约会干预措施可以同时解决加剧疾病,改善工作流程和财务状况的社会因素。出现了设计针对特定障碍的以患者为中心的创新干预措施的机会。

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