Telephone Techniques in Pediatric Practice

Tripp, Sally

doi:10.2307/3422015

The American Journal of Nursing

1971

DOI: 10.2307/3422015

|View full text |Cite

Telephone Techniques in Pediatric Practice

Sally Tripp¹

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

1978

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

(1 citation statement)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…J. Public Health 68: [31][32][33][34][35][36][37][38] 1978).health assistants raised serious questions about the quality of telephone care being provided, alternatives were to be defined and subjected to a randomized trial. Results of the first stage demonstrated high levels of quality among PHAs and a move into the next stage became unnecessary.…”

mentioning

confidence: 99%

Quality assessment of a telephone care system utilizing non-physician personnel.

Katz¹,

Pozen²,

Mushlin³

1978

Am J Public Health

View full text Add to dashboard Cite

An approach to providing medical care by telephone is described and its content and quality assessed by means of an outcome study. Pediatric health assistants have been trained to evaluate, triage and offer home management advice in lieu of an office visit for medical problems presented by parents via telephone. During a four-week study period, data were collected on all calls (N = 2520) using a telephone encounter form. Fifty-nine per cent of all calls involved requests for care of illness, 30 per cent of which were independently handled by the health assistant. Quality of care was evaluated for those cases who received Solutions to problems in providing medical care by telephone have been neglected. Physicians frequently delegate this critical responsibility to a variety of assistants whose performance is rarely subject to evaluation. Pediatricians traditionally receive the highest volume of request for services which are initiated by telephone. Previous telephone studies of our group practice confirmed that the majority of reported problems on nights and weekends could be managed at home.1' 2 Therefore, in response to increasing telephone utilization by patients we developed a telephone care system in 1971 whose goals were to increase the capacity for home management by delegating the functions of both telephone triage and personal home care advice to trained pediatric health assistants (PHAs) working under physician supervision, and to maximize direct physician and pediatric nurse practitioner (PNP) contact with patients by decreasing time spent on the telephone. As our practice expanded, parents began to question who was administering advice and how the PHAs were trained. These questions stimulated the need to examine critically this aspect of our practice. The strategy for approaching this included two stages. April 25, 1977, was revised and accepted for publication July 19, 1977. advice in home management by means of a seven day follow-up interview with parents (N = 247). Access, parent satisfaction, residual symptoms, and the need for further care were ascertained. Greater than 90 percent of parents expressed satisfaction and 92 per cent of problems had resolved. Results indicate that this telephone care system can effectively sort out and advise parents in home management for the many minor problems which occur in a pediatric practice, thereby increasing time for direct contact with patients. (Am. J. Public Health 68: [31][32][33][34][35][36][37][38] 1978).health assistants raised serious questions about the quality of telephone care being provided, alternatives were to be defined and subjected to a randomized trial. Results of the first stage demonstrated high levels of quality among PHAs and a move into the next stage became unnecessary. This investigation reports: 1) an analysis of total telephone care activity and 2) an evaluation of the quality of care provided for problems managed independently by the PHA. Access, outcome of the problem managed, and parent satisfaction are the variab...

show abstract

mentioning

confidence: 99%

Quality assessment of a telephone care system utilizing non-physician personnel.

Katz¹,

Pozen²,

Mushlin³

1978

Am J Public Health

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Telephone Techniques in Pediatric Practice

Cited by 1 publication

References 1 publication

Quality assessment of a telephone care system utilizing non-physician personnel.

Quality assessment of a telephone care system utilizing non-physician personnel.

Contact Info

Product

Resources

About