Objective To determine the safety and effectiveness of nurse telephone consultation in out of hours primary care by investigating adverse events and the management of calls.
Design Block randomised controlled trial over a year of 156 matched pairs of days and weekends in 26 blocks.
One of each matched pair was randomised to receive the intervention.
Setting One 55 member general practice cooperative serving 97 000 registered patients in Wiltshire.
Subjects All patients contacting the out of hours service or about whom contact was made during specified times over the trial year.
Intervention A nurse telephone consultation service integrated within a general practice cooperative.
The out of hours period was 6 15 pm to 1 115 pm from Monday to Friday, 11 00 am to 11 15 pm on Saturday, and 8 00 am to 11 15 pm on Sunday.
Experienced and specially trained nurses received, assessed, and managed calls from patients or their carers.
Management options included telephone advice ; referral to the general practitioner on duty (for telephone advice, an appointment at a primary care centre, or a home visit) ; referral to the emergency service or advice to attend accident and emergency.
Calls were managed with the help of decision support software. (...)
Mots-clés Pascal : Soin santé primaire, Infirmier, Consultation, Téléphone, Efficacité, Sécurité, Organisation santé, Homme
Mots-clés Pascal anglais : Primary health care, Nurse, Consultation, Telephone, Efficiency, Safety, Public health organization, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0492810
Code Inist : 002B30A05. Création : 19/02/1999.