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  1. After-hours telephone triage and advice in private and nonprivate pediatric populations.

    Article - En anglais

    Objectives 

    To compare the content of after-hours medical triage and advice calls regarding private practice patients vs nonprivate practice patients and to assess care-giver compliance with advice resulting from these calls.

    Design 

    Survey of after-hours medical triage and advice calls during a 2-week period (September 1 through 15,1996).

    Setting 

    Threc private practices (serving approximately 24 000 patients) and 1 urban hospital-based, nonprivate practice (serving approximately 12 000 patients).

    Subjects 

    After-hours medical triage and advice calls from caregivers of patients receiving their primary care in these settings.

    Main Outcome Measure 

    Compliance with recommended emergency department (ED) or office visit referrals.

    Results 

    A total of 286 calls regarding private practice patients and 377 calls regarding nonprivate practice patients were received (P<. 001).

    Eighty-one calls were referred by the nurse directly to the physician.

    Fifty-nine private practice patients and 59 nonprivate practice patients were referred to the ED.

    Caregivers of 94 private practice patients and 132 nonprivate practice patients were given home treatment advice.

    Appointments to be seen at their primary care source were given for 78 private practice patients and 160 nonprivate practice patients.

    Nonprivate practice patients were more likely to be referred for office care (P=005) ; private practice patients were more likely to be referred to the ED (P=01). (...)

    Mots-clés Pascal : Personnel sanitaire, Aidant, Téléphone, Entretien, Médecin, Evaluation, Recommandation, Procédure, Enfant, Homme, Organisation santé, Service santé, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Health staff, Caregiver, Telephone, Interview, Physician, Evaluation, Recommendation, Procedure, Child, Human, Public health organization, Health service, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0196662

    Code Inist : 002B30A01C. Création : 16/11/1999.