Document Detail


The implementation of a call-back system reduces the doctor's workload, and improves accessibility by telephone in general practice.
MedLine Citation:
PMID:  12356705     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In a general practice in The Netherlands, the demand for direct telephone consultation with the doctor became extreme, which resulted in poorly managed consultations, and poor telephone access due to busy lines. A call-back telephone appointment system was therefore introduced: all calls are answered and, when possible, managed by the practice assistant. If the assistant feels incapable, or if the patient prefers to speak to the doctor, a telephone appointment is scheduled, at which time the doctor returns the patient's call. OBJECTIVE: Our aim was to evaluate the effects of a call-back telephone appointment system on doctors' workload and patients' telephone access to doctors. METHODS: Telephone consultation data over 10 weeks were selected before and after the introduction of the call-back telephone appointment system. The outcomes measured were: number and duration of telephone calls to doctors, the reason for each call and how often telephone lines were engaged during the specified telephone hour. RESULTS: The number of calls requiring the doctor's attention was reduced by 59% and total time spent on the telephone by the GPs was reduced by 39%. This reduction is explained by a change in the reasons for calling. Telephone accessibility improved, as busy telephone lines were no longer an issue. CONCLUSION: The call-back telephone appointment system is superior to the previously used open access telephone hour.
Authors:
Reinier A de Groot; Jan de Haan; Henk E P Bosveld; Albert Nijland; Betty Meyboom-de Jong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Family practice     Volume:  19     ISSN:  0263-2136     ISO Abbreviation:  Fam Pract     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-01     Completed Date:  2002-12-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8500875     Medline TA:  Fam Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  516-9     Citation Subset:  IM    
Affiliation:
Department of Family Practice, University of Groningen, Antonius Deusinglaan 4, 9713 AW Groningen, The Netherlands. hapo@radegroot.demon.nl
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MeSH Terms
Descriptor/Qualifier:
Appointments and Schedules*
Family Practice*
Humans
Netherlands
Remote Consultation / organization & administration*
Telephone*
Workload

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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