短信提醒对医疗预约出勤率的影响:一项系统回顾和荟萃分析

Journal of Clinical Case Studies Reviews & Reports Pub Date : 2022-05-31 DOI:10.47363/jccsr/2022(4)217

Bobby Tang

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引用次数: 1

摘要

目的:不参加医疗保健预约会对患者的临床结果产生不利影响，同时也会给医疗保健系统带来高昂的成本。本研究的目的是评估移动医疗(mHealth)干预措施在解决这一问题中的作用。方法:对Cochrane Central Register of Controlled Trials (Central)、MEDLINE、Embase和PubMed等数据库进行系统评价。总共选择了12篇文章进行综述。随机效应模型用于估计总体效应大小。结果:与没有提醒相比，短信提醒显著降低了缺勤率(风险比[RR] 0.77;95%可信区间[CI] 0.71, 0.84)，研究间存在中等异质性(I2=32%)。漏斗图显示没有报告偏倚的证据。结论:短信提醒显着提高医疗出勤率在广泛的临床和社会经济环境。利用短信提醒是一种廉价而有效的提高病人出勤率的方法。

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Effect of SMS reminders on Attendance Rates for Healthcare Appointments: A Systematic Review & Meta-Analysis

Purpose: Non-attendance for healthcare appointments can adversely affect patients’ clinical outcomes as well as being costly to healthcare systems. The aim of this study is to assess the role of mobile health (mHealth) interventions in tackling this problem. Methods: A systematic review was conducted on several databases including the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase and PubMed. Overall 12 articles were selected for the review. A random effects model was used to estimate an overall effect size. Results: SMS reminders significantly decreased the rate of non-attendance compared to no reminders (Risk ratio [RR] 0.77; 95% Confidence Interval [CI] 0.71, 0.84) with moderate heterogeneity (I2=32%) between studies. A funnel plot indicated no evidence of reporting bias. Conclusions: SMS reminders significantly improve healthcare attendance rates across a wide range of clinical and socioeconomic settings. Utilization of SMS reminders are a cheap and effective method of improving patient attendance rates.

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Journal of Clinical Case Studies Reviews & Reports

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