Telephone triage systems in UK general practice: analysis of consultation duration during the index day in a pragmatic randomised controlled trial

Holt, Tim; Fletcher, Emily; Warren, Fiona C; Richards, Suzanne H; Salisbury, Chris; Calitri, Raff; Green, Colin; Taylor, Rod S; Richards, David; Varley, Anna; Campbell, John

doi:10.3399/bjgp16x684001

Cited by 41 publications

(41 citation statements)

References 6 publications

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“…The literature highlights both positive and negative effects of telephone consultations on workload. 11,22,23 The present study enhances these findings by adding the trainees' points of view. Furthermore, although the study did not look specifically at patient satisfaction to telephone consultations, 24 positive patient feedback was rated highly as one of the reasons for positive experiences.…”

Section: Comparison With Existing Literaturesupporting

confidence: 63%

Experiences of GP trainees in undertaking telephone consultations: a mixed-methods study

et al. 2020

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BackgroundPrimary care telephone consultations are increasingly used for patient triage, reviews, and providing clinical information. They are also a key postgraduate training component yet little is known about GP trainees’ preparation for, or experiences and perceptions of, them.AimTo understand the experiences, perceptions, and training of GP trainees in conducting telephone consultations.Design & settingA mixed-methods study was undertaken of North Central and East London (NCEL) GP trainees.MethodA cross-sectional electronic survey of trainees was performed with subsequent semi-structured interviews. Survey data were analysed using descriptive statistics, and qualitative data using thematic analysis.ResultsThe survey response was 16% (n = 100/618), and 10 participated in semi-structured interviews. Trainees felt least confident with complicated telephone consulting, and there was a strong positive correlation between the percentage reporting having received training and their confidence (R2 = 0.71, P<0.0001). Positive experiences included managing workload and convenience. Negative experiences included complex encounters, communication barriers, and absence of examination. Trainees reported that training for telephone consultations needed strengthening, and that recently introduced audio-clinical observation tools (COTs) were useful. Positive correlations were found between the length of out-of-hours (OOH) but not in-hours training and the level of supervision or feedback received for telephone consultations.ConclusionThis project sheds light on GP trainees’ current experiences of telephone consultations and the need to enhance future training. The findings will inform a wider debate among stakeholders and postgraduate learners regarding training for telephone consultations, and potentially for other remote technologies.

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Section: Comparison With Existing Literaturesupporting

confidence: 63%

Experiences of GP trainees in undertaking telephone consultations: a mixed-methods study

et al. 2020

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“…In addition, in the study conducted in England, it was determined that the TC service provided by the family physicians and FHEs did not reduce the clinical contact duration of the patient and physician. 21 In England, TC and triage are performed by the family physicians and nurses and are used to reduce the increased workload of the family practice. The research revealed that TC did not reduce the workload of the primary healthcare.…”

Section: Discussionmentioning

confidence: 99%

Does Telephone Consultancy Reduce Intensity in the Emergencies? Viewpoints of the Primary Healthcare Workers

Erdem

Özdemir

2018

Turkish Journal of Family Medicine and Primary Care

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Aim:The aim of this research is to examine the viewpoints of the primary health care workers in Turkey regarding directing the patients to the emergency service by providing them with telephone consultancy (TC). Methods: In this cross-sectional study, the universe of the research is composed of the primary health care workers in Turkey. The online questionnaire technique was used to obtain the data. SPSS 15.0 statistical package was used in data analysis and p< 0.05 is considered significant. Results: 1083 healthcare worker participated in the study. The proposal of "I support the TC project" is a statistically significant difference in terms of profession, and it was found out that family health employees looked more positively at this project than the doctors (p=0,028). The total proportion of the health professionals supporting the project was found out to be as low as 17.4%. A statistically significant difference was determined between ages (p=0,005), gender (p=0,005), profession (p=0,000) and years of professional experience (p=0,000) with the proposal of "TC is a populist approach". The proposal of "TC service reduces the intensity in the emergency service" in term of the profession, the statistical difference was found significant (p=0,023). Compared with family health employees; it was determined that the physicians did not think TC would reduce urgent applications. Conclusion: In Turkey, the primary healthcare workers mostly oppose the TC issue. As the professional experience increase, this rate increases much more. ÖZETGiriş: Bu araştırmanın amacı, Türkiye'de aile hekimliği çalışanlarının hastalara telefon danışmanlığı (TD) hizmeti vererek acil servise yönlendirme konusundaki bakış açılarını incelemektir. Yöntem: Kesitsel tipteki bu çalışmada, araştırmanın evrenini Türkiye'de birinci basamak sağlık çalışanları oluşturmaktadır. Verilerin elde edilmesinde online anket tekniği kullanılmıştır. İstatistiksel analizde SPSS.15.0 paket programı kullanıldı ve p<0.05 istatistiksel olarak anlamlı kabul edildi. Bulgular: Çalışmaya 1083 sağlık çalışanı katıldı. "TD projesini destekliyorum" önermesi meslek açısından istatistiksel olarak anlamlı olup; aile sağlığı elemanlarının hekimlere göre bu projeye daha olumlu baktığı tespit edildi (p=0,028). Projeyi destekleyen sağlık profesyonellerinin toplam oranı %17.4 olarak düşük tespit edilmiştir. "TD popülist bir yaklaşımdır" önermesi ile yaş (p=0,005), cinsiyet (p=0,005), meslek (p=0,000) ve mesleki deneyim yılı (p=0,000) arasında istatistiksel olarak anlamlı bir fark saptandı. "TD hizmeti vermek acil servisteki yoğunluğu azaltır" önermesi ile meslek açısından istatistiksel fark anlamlı bulundu (p=0,023). Hekimler aile sağlığı elemanları ile karşılaştırıldığında TD'nin acil başvurularını azaltacağını düşünmediği tespit edildi. Sonuç: Türkiye'de aile hekimliği çalışanları TD konusuna büyük oranda karşı çıkmaktadır. Mesleki deneyim arttıkça bu oran da artmaktadır.Anahtar Kelimeler: Telefon danışmanlığı, aile hekimliği, acil servis, Türkiye

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“…The inference engine and knowledge base are 2 major parts of MYCIN but also incorporates an explanation subsystem for explaining the system performance. However, MYCIN has some shortcomings which include [16][17][18][19][20]:  Having incomplete knowledge base as not all infectious diseases are covered.  As of its origin, many hospitals cannot afford it because more computing power for running it was required.…”

Section: The Comparationmentioning

confidence: 99%

Automated telemedicine and diagnosis system (ATDS) in diagnosing ailments and prescribing drugs

Albaeazanchi¹,

Hamid²,

Abdulrahman³

et al. 2019

PEN

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This paper presents an Automated Telemedicine and diagnosis system (ATDS), is an expert system that is used for diagnosing many ailments such as malaria and others. and prescription of drugs. ATDS is made up of knowledge database. The end user makes use of it to determine if they are suffering from one ailment or the by entering the ailment symptoms. Once the system receives the information from the user, an instant drug prescription and diagnosis is made. ATDS is user-friendly. However, ATDS was not developed to replace the real doctors but to assist patient waiting for human doctors that are few and to make the diagnosing and prescribing of drugs faster and more accurate. ATDS is implemented in PHP (Hypertext Preprocessor). Hospitals and other medical clinics should be readily accessible by everyone when needed as one of the many limitations of health care establishment is distance. ATDS when compared with old systems like MYCIN is more efficient in the different aspects. It solved the problem of incomplete base. ATDS proves efficiency more than another medical expert system by giving instant and correct ailment diagnosis and drug prescription.

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Telephone triage systems in UK general practice: analysis of consultation duration during the index day in a pragmatic randomised controlled trial

Cited by 41 publications

References 6 publications

Experiences of GP trainees in undertaking telephone consultations: a mixed-methods study

Experiences of GP trainees in undertaking telephone consultations: a mixed-methods study

Does Telephone Consultancy Reduce Intensity in the Emergencies? Viewpoints of the Primary Healthcare Workers

Automated telemedicine and diagnosis system (ATDS) in diagnosing ailments and prescribing drugs

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