Follow-through after calling a nurse telephone advice line: a population-based study
| Autor: | Scott Zimmer, Hude Quan, Lara Mazzei, Rod Elford, Bing Li, Carolyn De Coster |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Databases Factual Alberta Odds Young Adult Health personnel Nursing Hotlines Complaint Humans Medicine Child Lower income business.industry Remote Consultation Continuity of Patient Care Middle Aged Triage Advice (programming) Population based study Telephone advice Child Preschool Family medicine Emergency Medicine Female Nurse-Patient Relations Family Practice business |
| Zdroj: | Family Practice. 27:271-278 |
| ISSN: | 1460-2229 0263-2136 |
| DOI: | 10.1093/fampra/cmq003 |
| Popis: | Nurse telephone advice (NTA) lines, a major initiative in primary health care reform, provide symptom triage and health information. Compliance studies utilizing database analysis are frequently limited to a defined population, such as children or Emergency Department (ED) users.To explore caller characteristics associated with following NTA advice to go to the ED, see a health care professional or self-care for Calgary, Canada (population 1 million).NTA data were linked with utilization data to assess ED and physician visits following a call. Four nurse advice categories were defined: go to ED, health care provider in 24 hours, health care provider in 72 hours if symptoms persist and self-care. Follow-through was defined based on health care utilization within specified time periods following the call. Logistic regression identified characteristics associated with follow-through of NTA nurse advice; characteristics included age, sex, neighbourhood income, health status, time of call and type of care protocol.Follow-through was highest for self-care advice (83.7%), followed by ED advice (52.3%) and then 24-hour advice (43.2%). Lower follow-through on ED or 24-hour advice was associated with age4 years, and having lower income, and the opposite was true for self-care advice. Patients with a cardiac complaint had the highest odds of following ED advice. Patients with a gastrointestinal or obstetrics/gynaecology/genitourinary complaint were less likely to follow 24-hour advice. Patients with fever were less likely to follow self-care advice.Understanding characteristics associated with lower follow-through may help the NTA service to refine its approaches to clients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|