| A comparison of suburban and urban daytime telephone triage calls. | |
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MedLine Citation:
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PMID: 10888698 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare daytime nurse telephone triage calls received by a suburban practice with those received by a hospital-based, inner-city pediatric practice. METHODS: A research assistant, listening simultaneously with triage personnel, prospectively coded all calls received by the nurse triage telephone offices in 2 pediatric practices. Calls were coded the first full, nonholiday week of 3 consecutive summer and 3 consecutive winter months, alternating morning and afternoon sessions. One practice was suburban and had almost all commercially insured patients; the other was hospital-based, in an inner-city, and consisted mostly of patients with Medicaid coverage or no health insurance. RESULTS: A total of 901 calls were triaged in the suburban practice (SP) and 768 in the urban practice (UP). The chief complaints of calls regarding medical problems were similar at both sites. Difficulties with language were noted less often in SP compared with UP (1% vs 17%). The reason for the calls differed by site: medical problem relating to illness or injury (SP 55% vs UP 40%); social issue (SP 1% vs UP 9%); documentation request (SP 2% vs UP 7%); request for laboratory work (SP.3% vs UP 4%); and well child advice (SP 9% vs UP 5%). The disposition of calls also differed by site: telephone advice was offered significantly more in SP than in UP (32% vs 20%); fewer calls required the need for the medical record in SP than in UP (2% vs 12%). CONCLUSIONS: Calls received by a daytime nurse telephone triage office in an affluent SP and a UP are similar in regard to medical problems. Training programs can feasibly prepare physicians and nurses for both kinds of practice settings. The urban site received more calls affected by language and social issues. This could have administrative implications for staffing ratios, language skills of staff and knowledge of available support services. |
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Authors:
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B L Philipp; C Wilson; B Kastner; C Pearson; H Bauchner |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Pediatrics Volume: 106 ISSN: 0031-4005 ISO Abbreviation: Pediatrics Publication Date: 2000 Jul |
Date Detail:
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Created Date: 2000-08-01 Completed Date: 2000-08-01 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 231-3 Citation Subset: AIM; IM |
Affiliation:
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Divisions of Pediatric Ambulatory Services and General Pediatrics, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts 02118, USA. bobbi.philipp@bmc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Communication Barriers Humans Nurses Pediatrics* Suburban Health* Telephone* Time Factors Triage / utilization* Urban Health* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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