文章基本信息

标题：Impact of a new medical network system on the efficiency of treatment for eating disorders in Japan: a retrospective observational study
本地全文：下载
作者：Junko Moriya ; Mami Kayano ; Kazuhiro Yoshiuchi 等
期刊名称：BioPsychoSocial Medicine
印刷版ISSN：1751-0759
电子版ISSN：1751-0759
出版年度：2017
卷号：11
期号：1
页码：27
DOI：10.1186/s13030-017-0113-9
语种：English
出版社：BioMed Central
摘要：Background In Japan, patients generally have free access to any hospital or clinic. This could lead to reduced efficiency in the treatment for eating disorders (EDs) because there are only a limited number of doctors who can treat ED patients. The objectives of this study were to examine the efficiency of a new trial system for consultation and appointments, a medical community network (MCN), in outpatient treatment for EDs. MCN schedules appointments for the first visit only by referral from another medical institution, not by patients themselves. Methods We analyzed the data of 342 outpatients (mean age = 28.9 ± 9.9 years; 328 female and 14 male) who visited the ED clinic at the University of Tokyo Hospital for the first time between January 2009 and July 2012 to investigate possible differences in treatment efficacy between the new (MCN+) system and the conventional (MCN-) system, which accepts reservations directly from patients. Results The no-show rate for MCN+ patients (0.8%) was significantly lower than that for the MCN- group (17.8%) ( p p Conclusion This new consultation system using a medical community network provided more efficient treatment for ED than did the appointment system in which the patients made their appointments by themselves.
关键词：Eating disorders ; Outpatient treatment ; Care pathways ; Medical community network