Telephone advice nursing services in a US health maintenance organization
| Autor: | Susan Randles Moscato, Marion David, Christina M. Gullion, Barbara Valanis, Shigeko Izumi, Christine A Tanner, Susan E. Shapiro |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Health Services Needs and Demand Referral business.industry Remote Consultation Health Maintenance Organizations Health Informatics United States Telephone Nursing Telephone advice Time and Motion Studies Nursing Services Humans Medicine Health maintenance Emergencies business Referral and Consultation |
| Zdroj: | Journal of Telemedicine and Telecare. 10:50-54 |
| ISSN: | 1758-1109 1357-633X |
| DOI: | 10.1258/135763304322764202 |
| Popis: | We studied telephone advice nursing (TAN) in the US. We recorded 4269 TAN calls in four regions served by Kaiser Permanente, a health maintenance organization. A call description form was used to record information regarding both calls and callers. The mean call length was 5.9 min (SD 3.6, range 0.3-35.8); 300 calls lasted less than 2 min. The mean call length differed significantly across regions, from 4.4 min in Hawaii to 8.7 min in Southern California. Calls to call centres lasted an average of 6.5 min (SD 3.8), compared with 4.2 min (SD 2.9) for those to medical offices. These differences were significant. Although 42% of calls required some further medical management, only 18% ( n = 754) resulted in an urgent disposition, and only 16% ( n = 121; 3% of all calls) of the urgent dispositions involved referral to emergency services. The likelihood of urgent disposition varied significantly by region. Callers generally used the TAN services for the right reasons, that is, with questions or concerns that could be reasonably handled by telephone advice nurses. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|