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BRIEF REPORT: Factors Affecting Outpatient Follow‐up Compliance of Emergency Department Patients
Background: Emergency department (ED) patients often fail to follow‐up with referrals to outpatient clinics and physicians. Objective: To compare the effects of 2 ED discharge instructional methods on outpatient follow‐up compliance and to evaluate sociodemographic characteristics as possible factor...
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| Published in: | Journal of general internal medicine : JGIM 2005-10, Vol.20 (10), p.938-942 |
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| container_issue | 10 |
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| container_title | Journal of general internal medicine : JGIM |
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| creator | Kyriacou, Demetrios N. Handel, Dan Stein, Adam C. Nelson, Regina R. |
| description | Background: Emergency department (ED) patients often fail to follow‐up with referrals to outpatient clinics and physicians.
Objective: To compare the effects of 2 ED discharge instructional methods on outpatient follow‐up compliance and to evaluate sociodemographic characteristics as possible factors affecting outpatient follow‐up compliance.
Design and Participants: Randomized trial of ED patients. At discharge, the intervention group had their follow‐up appointment made and the standard group was given our hospital's referral service phone number to make their own follow‐up appointment.
Measurements: Outpatient clinics were called 1 month after each subject's ED discharge to ascertain if they followed‐up. Poisson regression was used to examine the effects of sociodemographic factors on follow‐up compliance.
RESULTS: Of 287 eligible subjects, 250 (87%) agreed to participate. Follow‐up rates were 59% for the intervention group and 37% for the standard group (P |
| doi_str_mv | 10.1111/j.1525-1497.2005.0216_1.x |
| format | article |
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Objective: To compare the effects of 2 ED discharge instructional methods on outpatient follow‐up compliance and to evaluate sociodemographic characteristics as possible factors affecting outpatient follow‐up compliance.
Design and Participants: Randomized trial of ED patients. At discharge, the intervention group had their follow‐up appointment made and the standard group was given our hospital's referral service phone number to make their own follow‐up appointment.
Measurements: Outpatient clinics were called 1 month after each subject's ED discharge to ascertain if they followed‐up. Poisson regression was used to examine the effects of sociodemographic factors on follow‐up compliance.
RESULTS: Of 287 eligible subjects, 250 (87%) agreed to participate. Follow‐up rates were 59% for the intervention group and 37% for the standard group (P<.001). Having a primary care physicians appeared to increase ED patients' outpatient follow‐up compliance and having Medicaid insurance appeared to decrease outpatient follow‐up compliance, but neither of these findings was statistically significant.
Conclusions: In our ED, patients who have their outpatient follow‐up appointment made at discharge have a significantly greater probability of follow‐up compliance compared with patients given standard discharge instructions. Most sociodemographic characteristics do not affect our ED patients' follow‐up compliance.</description><identifier>ISSN: 0884-8734</identifier><identifier>EISSN: 1525-1497</identifier><identifier>DOI: 10.1111/j.1525-1497.2005.0216_1.x</identifier><identifier>PMID: 16191142</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Inc</publisher><subject>Compliance ; Emergencies ; emergency department ; Emergency medical care ; Emergency medical services ; Emergency Service, Hospital - standards ; Follow-Up Studies ; follow‐up compliance ; Government programs ; Health care ; Humans ; Internal medicine ; Original ; outpatient ; Outpatient care facilities ; Patient Compliance ; Patient Discharge ; Patient Education as Topic - methods ; Patient Education as Topic - standards ; Patients ; Physicians ; Primary care ; Sociodemographics ; Statistical analysis ; Teaching methods ; Treatment Outcome</subject><ispartof>Journal of general internal medicine : JGIM, 2005-10, Vol.20 (10), p.938-942</ispartof><rights>2005 by the Society of General Internal Medicine. All rights reserved</rights><rights>Society of General Internal Medicine 2005</rights><rights>Society of General Internal Medicine 2005.</rights><rights>2005 by the Society of General Internal Medicine 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5591-6ab56c8ee2665016ff42354dd32559b319452f182b4c27761a5035e39b7c96cd3</citedby><cites>FETCH-LOGICAL-c5591-6ab56c8ee2665016ff42354dd32559b319452f182b4c27761a5035e39b7c96cd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1490224/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1490224/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16191142$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kyriacou, Demetrios N.</creatorcontrib><creatorcontrib>Handel, Dan</creatorcontrib><creatorcontrib>Stein, Adam C.</creatorcontrib><creatorcontrib>Nelson, Regina R.</creatorcontrib><title>BRIEF REPORT: Factors Affecting Outpatient Follow‐up Compliance of Emergency Department Patients</title><title>Journal of general internal medicine : JGIM</title><addtitle>J Gen Intern Med</addtitle><description>Background: Emergency department (ED) patients often fail to follow‐up with referrals to outpatient clinics and physicians.
Objective: To compare the effects of 2 ED discharge instructional methods on outpatient follow‐up compliance and to evaluate sociodemographic characteristics as possible factors affecting outpatient follow‐up compliance.
Design and Participants: Randomized trial of ED patients. At discharge, the intervention group had their follow‐up appointment made and the standard group was given our hospital's referral service phone number to make their own follow‐up appointment.
Measurements: Outpatient clinics were called 1 month after each subject's ED discharge to ascertain if they followed‐up. Poisson regression was used to examine the effects of sociodemographic factors on follow‐up compliance.
RESULTS: Of 287 eligible subjects, 250 (87%) agreed to participate. Follow‐up rates were 59% for the intervention group and 37% for the standard group (P<.001). Having a primary care physicians appeared to increase ED patients' outpatient follow‐up compliance and having Medicaid insurance appeared to decrease outpatient follow‐up compliance, but neither of these findings was statistically significant.
Conclusions: In our ED, patients who have their outpatient follow‐up appointment made at discharge have a significantly greater probability of follow‐up compliance compared with patients given standard discharge instructions. Most sociodemographic characteristics do not affect our ED patients' follow‐up compliance.</description><subject>Compliance</subject><subject>Emergencies</subject><subject>emergency department</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency Service, Hospital - standards</subject><subject>Follow-Up Studies</subject><subject>follow‐up compliance</subject><subject>Government programs</subject><subject>Health care</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Original</subject><subject>outpatient</subject><subject>Outpatient care facilities</subject><subject>Patient Compliance</subject><subject>Patient Discharge</subject><subject>Patient Education as Topic - methods</subject><subject>Patient Education as Topic - standards</subject><subject>Patients</subject><subject>Physicians</subject><subject>Primary care</subject><subject>Sociodemographics</subject><subject>Statistical analysis</subject><subject>Teaching methods</subject><subject>Treatment Outcome</subject><issn>0884-8734</issn><issn>1525-1497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNqNks2O0zAUhS0EYsrAK6AAErsEX__FYQEaSjsUjdRRNawtx3VKqiQOccJMdzwCz8iT4JBq-JEQeGNL57vHvtcHoSeAEwjrxT4BTngMLEsTgjFPMAGhILm5g2a3yl00w1KyWKaUnaAH3u8xBkqIvI9OQEAGwMgM5W82q8Uy2iwu15url9FSm951PjorCmv6stlF66FvdV_apo-Wrqrc9bcvX4c2mru6rUrdGBu5IlrUttvZxhyit7bVXV-P-OVU5h-ie4WuvH103E_Rh-Xiav4uvlifr-ZnF7HhPINY6JwLI60lQnAMoigYoZxtt5QEPaeQMU4KkCRnhqSpAM0x5ZZmeWoyYbb0FL2afNshr-3WhLs7Xam2K2vdHZTTpfpdacqPauc-qzAtTAgLBs-PBp37NFjfq7r0xlaVbqwbvBJSMCwzHMBnf4B7N3RNaE6FxzMhsWQyUE__SmEJgqbA_gVxApgGKJsg0znvO1vcNgVYjYlQezX--9hJqsZEqCkR6ibUPv51Kj8rjxEIwOsJuC4re_h_Z_X-fPXjSL8DWenECg</recordid><startdate>20051001</startdate><enddate>20051001</enddate><creator>Kyriacou, Demetrios N.</creator><creator>Handel, Dan</creator><creator>Stein, Adam C.</creator><creator>Nelson, Regina R.</creator><general>Blackwell Science Inc</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20051001</creationdate><title>BRIEF REPORT: Factors Affecting Outpatient Follow‐up Compliance of Emergency Department Patients</title><author>Kyriacou, Demetrios N. ; Handel, Dan ; Stein, Adam C. ; Nelson, Regina R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5591-6ab56c8ee2665016ff42354dd32559b319452f182b4c27761a5035e39b7c96cd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Compliance</topic><topic>Emergencies</topic><topic>emergency department</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency Service, Hospital - standards</topic><topic>Follow-Up Studies</topic><topic>follow‐up compliance</topic><topic>Government programs</topic><topic>Health care</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Original</topic><topic>outpatient</topic><topic>Outpatient care facilities</topic><topic>Patient Compliance</topic><topic>Patient Discharge</topic><topic>Patient Education as Topic - methods</topic><topic>Patient Education as Topic - standards</topic><topic>Patients</topic><topic>Physicians</topic><topic>Primary care</topic><topic>Sociodemographics</topic><topic>Statistical analysis</topic><topic>Teaching methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kyriacou, Demetrios N.</creatorcontrib><creatorcontrib>Handel, Dan</creatorcontrib><creatorcontrib>Stein, Adam C.</creatorcontrib><creatorcontrib>Nelson, Regina R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of general internal medicine : JGIM</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kyriacou, Demetrios N.</au><au>Handel, Dan</au><au>Stein, Adam C.</au><au>Nelson, Regina R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>BRIEF REPORT: Factors Affecting Outpatient Follow‐up Compliance of Emergency Department Patients</atitle><jtitle>Journal of general internal medicine : JGIM</jtitle><addtitle>J Gen Intern Med</addtitle><date>2005-10-01</date><risdate>2005</risdate><volume>20</volume><issue>10</issue><spage>938</spage><epage>942</epage><pages>938-942</pages><issn>0884-8734</issn><eissn>1525-1497</eissn><abstract>Background: Emergency department (ED) patients often fail to follow‐up with referrals to outpatient clinics and physicians.
Objective: To compare the effects of 2 ED discharge instructional methods on outpatient follow‐up compliance and to evaluate sociodemographic characteristics as possible factors affecting outpatient follow‐up compliance.
Design and Participants: Randomized trial of ED patients. At discharge, the intervention group had their follow‐up appointment made and the standard group was given our hospital's referral service phone number to make their own follow‐up appointment.
Measurements: Outpatient clinics were called 1 month after each subject's ED discharge to ascertain if they followed‐up. Poisson regression was used to examine the effects of sociodemographic factors on follow‐up compliance.
RESULTS: Of 287 eligible subjects, 250 (87%) agreed to participate. Follow‐up rates were 59% for the intervention group and 37% for the standard group (P<.001). Having a primary care physicians appeared to increase ED patients' outpatient follow‐up compliance and having Medicaid insurance appeared to decrease outpatient follow‐up compliance, but neither of these findings was statistically significant.
Conclusions: In our ED, patients who have their outpatient follow‐up appointment made at discharge have a significantly greater probability of follow‐up compliance compared with patients given standard discharge instructions. Most sociodemographic characteristics do not affect our ED patients' follow‐up compliance.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Inc</pub><pmid>16191142</pmid><doi>10.1111/j.1525-1497.2005.0216_1.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of general internal medicine : JGIM, 2005-10, Vol.20 (10), p.938-942 |
| issn | 0884-8734 1525-1497 |
| language | eng |
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| source | Springer Nature; PubMed Central |
| subjects | Compliance Emergencies emergency department Emergency medical care Emergency medical services Emergency Service, Hospital - standards Follow-Up Studies follow‐up compliance Government programs Health care Humans Internal medicine Original outpatient Outpatient care facilities Patient Compliance Patient Discharge Patient Education as Topic - methods Patient Education as Topic - standards Patients Physicians Primary care Sociodemographics Statistical analysis Teaching methods Treatment Outcome |
| title | BRIEF REPORT: Factors Affecting Outpatient Follow‐up Compliance of Emergency Department Patients |
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