Can Text Messages Improve Attendance to Primary Care Appointments in Underserved Populations?

被引：15
|
作者：
Percac-Lima, Sanja [1 ,2 ,3 ]
Singer, Daniel E. [2 ,3 ]
Cronin, Patrick R. [4 ]
Chang, Yuchiao [2 ,3 ]
Zai, Adrian H. [3 ,4 ]
机构：
[1] Massachusetts Gen Hosp, Chelsea HealthCare Ctr, 151 Everett Ave, Chelsea, MA 02150 USA
[2] Massachusetts Gen Hosp, Div Gen Internal Med, Boston, MA 02114 USA
[3] Harvard Med Sch, Boston, MA USA
[4] Massachusetts Gen Hosp, Comp Sci Lab, Boston, MA 02114 USA
来源：
JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED | 2016年 / 27卷 / 04期
关键词：
Text messaging; underserved; appointment reminder; primary care; health disparities; RANDOMIZED CONTROLLED-TRIAL; NO-SHOW RATES; SERVICE REMINDERS; TELEPHONE; ADHERENCE; SYSTEMS; URBAN;
D O I：
10.1353/hpu.2016.0157
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
We explored whether text message (TM) reminders could be used at a community health center (CHC) to improve primary care appointment attendance in adult patients. Over six months, we allocated 8,425 appointments to intervention and 2,679 to control. The proportion of no-shows in the intervention was 18.0% vs. 19.8% in control (p = .106). Among intervention appointments, 1,431 did not have a cell phone, 4,955 did not respond to the consent TM, and 231 declined TMs. The proportion of no-shows for the 1,309 appointments who received TM was 13.7% compared with 20.2% in a matched control group (p = .001). However, of 81 surveyed patients who did not respond to the consent TM, 64 (93%) wished to receive TMs. In conclusion, patients who received TM demonstrated improved attendance to their appointments. TM might be an effective supplemental appointment reminder method in a subpopulation of CHC patients and it should be explored in future research.
引用
收藏
页码：1709 / 1725
页数：17
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