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October 1964, Vol 108, No. 4 >
Article | October 1964

Urgency as a Factor In Clinic Attendance FREE

J. PHILIP AMBUEL, MD; JAN CEBULLA, BSN; NORMAN WATT, PhD; DOUGLAS P. CROWNE, PhD
[+] Author Affiliations

Received for publication Dec 30, 1963.

This work was supported by grant RG 7140, from the National Institute of Health, United States Public Health Service, Department of Health, Education, and Welfare.


Am J Dis Child. 1964;108(4):394-398. doi:10.1001/archpedi.1964.02090010396009.
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A chain is only as strong as its weakest link. Outpatient clinics, as well as private practices, have a weak link, namely the problem of appointment breaking. The weakness of this link can be crucial in cases where a return appointment is vital to the patient's health.

In a larger view, appointment breaking is a symptom of inadequate follow-through on medical care. Included in this is failure of the mother to understand recommended treatment, or failure to follow directions.

Within a teaching framework, where broken appointments create problems in planning a comprehensive program, various remedies have been tried. The hospital management has focused attention on efficient utilization of outpatient facilities by revising appointment systems and providing more pleasant physical surroundings.1,2 Medical educators are attempting to teach students communication skills that will improve relationships between doctor and patient.3,4 Recently, research has been directed toward identifying those who break appointments

REFERENCES

1 +
Lee, S. S.:  Fresh Look at Out-Patient Department Problems , Hospitals 32:35-37 ( (March) ) 1958;.
2 +
Yvonne, M.:  Out-Patient Department Appointment System , Hosp Progr 34:61-62 ( (April) ) 1953;.
3 +
Reader, G. G.:  Organization and Development of Comprehensive Care Program , Amer J Pub Health 44:760-765 ( (June) ) 1954;.
4 +
Solnit, A. J., and Senn, M. J. E.:  Teaching Comprehensive Pediatrics in Out-Patient Clinic , Pediatrics 14:547-556, 1954;.
5 +
Badgley, R. F., and Furnal, M. A.:  Appointment Breaking in Pediatric Clinic , Yale J Biol Med 34:117-123 ( (Oct) ) 1961;.
6 +
Pratt, L.; Seligmann, A.; and Reader, G. G.:  Physicians' Views on Level of Medical Information Among Patients , Amer J Pub Health 47:1277-1283 ( (Oct) ) 1957;.
7 +
Gee, H. H.:  Learning Physician-Patient Relationship , JAMA 173:1301-1303, 1960;.

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Interactive Graphics

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Lee, S. S.:  Fresh Look at Out-Patient Department Problems , Hospitals 32:35-37 ( (March) ) 1958;.
2 +
Yvonne, M.:  Out-Patient Department Appointment System , Hosp Progr 34:61-62 ( (April) ) 1953;.
3 +
Reader, G. G.:  Organization and Development of Comprehensive Care Program , Amer J Pub Health 44:760-765 ( (June) ) 1954;.
4 +
Solnit, A. J., and Senn, M. J. E.:  Teaching Comprehensive Pediatrics in Out-Patient Clinic , Pediatrics 14:547-556, 1954;.
5 +
Badgley, R. F., and Furnal, M. A.:  Appointment Breaking in Pediatric Clinic , Yale J Biol Med 34:117-123 ( (Oct) ) 1961;.
6 +
Pratt, L.; Seligmann, A.; and Reader, G. G.:  Physicians' Views on Level of Medical Information Among Patients , Amer J Pub Health 47:1277-1283 ( (Oct) ) 1957;.
7 +
Gee, H. H.:  Learning Physician-Patient Relationship , JAMA 173:1301-1303, 1960;.

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