Abstract: 【Objective】 To observe the effect to improve the follow-up rate and effect by regulatory reservation to see a doctor in follow-up center for high risk neonates, offer evidence in order to generalize the system.【Objects】 According to voluntary principle, 2 929 high-risk neonates who took part in reservation to see a doctor voluntarily and established files from division of neonatology from May 2009 to April 2010 were chosen as reservation group, and who established files from division of neonatology at the same term and see a doctor without reservation as usual were chosen as control group. 【Methods】 High-risk neonates of reservation group were planned to make an appointment of follow-up time by many way such as education when discharge from hospital, telephone booking and spot booking by specialist nurse, hospital booking form network platform. High-risk neonates of control group were to see a doctor conventionally without reservation. 【Results】 After 1 year follow-up management, the follow-up rate of the first time of reservation group was significantly increased 26.99％ than that of control group(P<0.001), reached to 82.72%. The follow-up rate of one-year of reservation group was significantly increased 30.82％ than that of control group(P<0.001), reached to 63.4％. The time patients waiting for the medical treatment was significantly shortened from(18.965±20.048) minutes to(6.125±8.048) minutes after reservation. 【Conclusions】 Planning to make an appointment of follow-up time can greatly improve the follow-up rate and effect of high risk neonates and shorten the waiting time in follow-up center.

Key words: high-risk neonates, reservation to see a doctor, follow-up

摘要： 【目的】 观察规范预约随访管理就诊在高危儿随访门诊中对其随访率及随防效果中的促进作用,为该制度的推广应用提供依据。 【对象】 按照自愿原则,选择2009年5月-2010年4月在本院新生儿科住院并建档的、自愿参加预约就诊的4 755例高危儿入选预约组,选择同期住院并建档的按原常规就诊的2 929例高危儿作为对照组。 【方法】 对预约组进行有计划的预约随诊时间,并通过出院宣教,专科护士电话预约、现场预约、医院预约网络平台等形式预约随诊。对照组按照常规无预约随访就诊。 【结果】 预约随访管理1年来,初次随访率达到82.72%,增长了26.99％,一年随访率达到了63.4％,增长了30.82％,经处理差异有统计学意义(P<0.001)。通过就诊时间的预约,患儿的非医疗等候时间由原来的(18.965±20.048) min,明显缩短到(6.125±8.048) min。 【结论】 有计划的预约高危儿随诊时间,可缩短等候时间,提高高危儿的随访率及随防效果。

关键词: 高危儿, 预约就诊, 随访