| Evaluating patient compliance with nurse advice line recommendations and the impact on healthcare costs. | |
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MedLine Citation:
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PMID: 15352529 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To explore the effect of telephone triage and advice lines in uninsured and managed care populations served by a safety net system and to document the relationship between the patient's initial plan for healthcare, the nurse recommendation, and the patient's subsequent healthcare action. STUDY DESIGN: Prospective telephone survey. PATIENTS AND METHODS: Of 1538 calls to a nurse advice line in a 28-day period, 710 (46%) callers were selected to be surveyed. Of those, 278 (39%) were surveyed by telephone within 7 days of their call to assess patient compliance with recommendations, the patient's actual healthcare actions, and their satisfaction with the service. RESULTS: Patients' reported actions were classified as either (1) home care (46%), (2) clinic visit (27%), or (3) hospital visit (27%). Seventy percent of patients complied with nurse advice line recommendations. Most patient actions (68%) differed from their original healthcare plan, with many (46%) choosing a lower intensity of care. Changes from patients' original healthcare plans had a potential annual net savings of $322 249. CONCLUSION: The simple act of calling a nurse triage and advice line corresponds with a change in the reported actions of uninsured and managed care patients and a potential reduction in costs to the safety net system providing their healthcare. |
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Authors:
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Gregory M Bogdan; Jody L Green; Diane Swanson; Patricia Gabow; Richard C Dart |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: The American journal of managed care Volume: 10 ISSN: 1088-0224 ISO Abbreviation: Am J Manag Care Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-09-08 Completed Date: 2004-10-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9613960 Medline TA: Am J Manag Care Country: United States |
Other Details:
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Languages: eng Pagination: 534-42 Citation Subset: H |
Affiliation:
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Rocky Mountain Poison and Drug Center, Denver, Colo 80204, USA. greg.bogdan@rmpdc.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Colorado Data Collection Female Health Care Costs* Humans Infant Infant, Newborn Male Middle Aged Nurse-Patient Relations* Patient Compliance* Telecommunications / utilization* |
| Comments/Corrections | |
Comment In:
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Am J Manag Care. 2004 Aug;10(8):529-30
[PMID:
15352528
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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