文章基本信息

标题：Factors contributing to nonadherence to follow-up appointments in a resident glaucoma clinic versus primary eye care clinic
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作者：Scott J Fudemberg ; Brian Lee ; Michael Waisbourd 等
期刊名称：Patient Preference and Adherence
印刷版ISSN：1177-889X
电子版ISSN：1177-889X
出版年度：2016
卷号：10
页码：19-25
DOI：10.2147/PPA.S89336
出版社：Dove Medical Press Ltd
摘要：Purpose: To determine the rate of adherence to follow-up appointment recommendations in a resident glaucoma clinic with no mechanism for reminders, compared to a resident cataract and primary eye care (CPEC) clinic in which telephone reminders were used, and to identify factors that contribute to adherence in each patient group. Methods: This retrospective cohort study included subjects in the CPEC clinic who received telephone reminders and those in the glaucoma clinic who did not. Each sample was selected to have a similar proportion of follow-up recommendations for 1, 3, and 6 months. Subjects were considered adherent if they returned within a specified timeframe. Results: A total of 144 subjects from the glaucoma clinic and 151 subjects from the CPEC clinic were included. There was no significant difference between follow-up adherence rates of patients who received telephone reminders and those who did not (odds ratio [OR] =1.35, 95% confidence interval [CI] 0.79–2.32, P =0.28). Patients who were on more than two ocular medications were more likely to return for follow-up (OR=3.11, 95% CI 1.53–6.35, P =0.0018). Subjects between the ages 50 and 80 years were more likely to be adherent compared to their younger and older peers ( P =0.02). Conclusion: The follow-up adherence of patients in a CPEC clinic who received telephone reminders was similar to patients in a glaucoma clinic who did not receive any intervention to increase their adherence. Younger (<50 years old) and elderly (>80 years old) subjects, as well as patients using less than two glaucoma medications, were less likely to adhere to their follow-up appointments.
关键词：glaucoma; retrospective studies; patient adherence; telephone reminders; age; medications