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  1. Computerized pediatric telephone triage and advice programs at children's hospitals : Operating and financial characteristics.

    Article - En anglais

    Objective 

    To describe the operating characteristics, financial performance, and perceived value of computerized children's hospital-based telephone triage and advice (TTA) programs.

    Design 

    A written survey of all 32 children's hospital-based TTA programs in the United States that used the same proprietary pediatric TTA software product for at least 6 months.

    Main Outcome Measures 

    The expense, revenues, and perceived value of children's hospital-based TTA programs.

    Results 

    Of 30 programs (94%) responding, 27 (90%) were eligible for the study and reported on their experience with nearly 1.3 million TTA calls over a 12-month period.

    Programs provided pediatric TTA services for 1560 physicians, serving an average of 82 physicians (range, 10-340 physicians) and answering 38 880 calls (range, 8500-140 000 calls) annually.

    The mean call duration was 11.3 minutes and the estimated mean total expense per call was $12.45.

    Of programs charging fees for TTA services, 16 (59%) used a per-call fee and 7 (26%) used a monthly service fee.

    All respondents indicated that fees did not cover all associated costs.

    Telephone triage and advice programs, when examined on a stand-alone basis, were all operating with annual deficits (mean, $447 000 ; median, $325 000 ; range, $74000-$1.3 million), supported by the sponsoring children's hospitals and their companion programs. (...)

    Mots-clés Pascal : Appel téléphonique, Consultation, Assistance ordinateur, Etats Unis, Amérique du Nord, Amérique, Infirmier, Pédiatrie, Enfant, Homme, Hôpital, Etude statistique

    Mots-clés Pascal anglais : Telephone call, Consultation, Computer aid, United States, North America, America, Nurse, Pediatrics, Child, Human, Hospital, Statistical study

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

    Cote : 99-0465261

    Code Inist : 002B30A04D. Création : 22/03/2000.