J Telemed Telecare - Differences between surrogate telephone triage calls in an adult population and self calls.

Tópicos

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Resumo

We reviewed surrogate calls (i.e. those made on behalf of the patient) to a national triage call centre to determine whether there were differences between calls made by surrogates and self calls. During a three-year period there were 14,646 calls (14% of the total) made by a surrogate on behalf of the patient. Surrogate calls, as a percentage of total calls, increased with the age of the patient from 12% in the 18-34 year age group to 43% in the 80 and over age group (P < 0.0001). The symptoms of vomiting or nausea and dizziness or light-headedness were significantly more likely to be reported by surrogate callers than self callers. Surrogates reported a higher original intention of taking patients to the hospital emergency department (ED) compared with self callers across all adult age groups (OR 1.64; 95% CI 1.57 to 1.71). A higher proportion (38%) of surrogate calls ended with the nurse recommending an ED visit compared with only 26% of self calls (OR 1.72; 95% CI 1.66 to 1.79). Calls about men accounted for 54% of surrogate calls but only 26% of self calls (OR 3.3; 95% CI 3.2 to 3.4), suggesting that surrogate calls may be a way of increasing medical access for men.

Resumo Limpo

review surrog call ie made behalf patient nation triag call centr determin whether differ call made surrog self call threeyear period call total made surrog behalf patient surrog call percentag total call increas age patient year age group age group p symptom vomit nausea dizzi lightheaded signific like report surrog caller self caller surrog report higher origin intent take patient hospit emerg depart ed compar self caller across adult age group ci higher proport surrog call end nurs recommend ed visit compar self call ci call men account surrog call self call ci suggest surrog call may way increas medic access men

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