Abstract
Objective: We focused on people who did not implement the Specific Health Guidance in order to improve the consultation rate, and it turned out that about 30% of the candidates refused to answer for reasons of “self-management” and “busyness”. We tried to work on the first interview and clarify the effects.
Methods: During the period of July 2016 to March 2017, 479 candidates for specific health guidance were placed in a control group (2016 group), and 460 persons in an intervention group (2017 group). Unification of explanation methods among staff at the first interview was performed and additional explanations along with a flowchart were given to subjects who refused to adhere to specific health guidance since June 2017. We examined the number of implementers, consultation rate, and the reasons for refusing to adhere to Specific Health Guidance.
Results: The consultation rate of Specific Health Guidance was 17.9% (86 persons) in the control group and increased by 25.5% (117 persons) in the intervention group. There were two examinees who accepted the consultation after an explanation using the subsequent flowchart was provided.
Conclusions: This intervention activated the awareness of staff to introduce Specific Health Guidance, and motivated examinees. These interventions may have contributed to an increase in the rate of initiation of Specific Health Guidance.
