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Peter Vedsted

Out-of-hours primary care - a population-based study of the diagnostic scope of telephone contacts

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Out-of-hours primary care - a population-based study of the diagnostic scope of telephone contacts. / Moth, Grete; Huibers, Linda; Christensen, Morten Bondo et al.

I: Family Practice, 21.06.2016.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{ada0e563457642428497f021e85a12bc,
title = "Out-of-hours primary care - a population-based study of the diagnostic scope of telephone contacts",
abstract = "BACKGROUND: GPs answer all patient calls to the out-of-hours primary care (OOH-PC) services in Denmark. Knowledge is scarce on how the triage-GPs act on the specific reasons for encounter (RFE).OBJECTIVE: This study aims to describe the RFEs, the applied diagnoses and the severity of health problems presented in calls to the OOH-PC.METHODS: This was a 1-year cross-sectional study based on IT-integrated pop-up questionnaires addressing patients' health problems. We included only telephone contacts that were categorized according to their triage outcome as telephone consultations, direct admissions to hospital or referrals for face-to-face contact. The GP-assessed severity was calculated for age groups and types of outcome. We identified the 20 most frequent primary RFEs and diagnoses for each type of contact termination.RESULTS: We included 7810 telephone calls. Calls considered non-severe made up two-thirds of the calls terminated as telephone consultations, whereas calls considered potentially severe made up the main part of referrals (52.3%). Overall, the 20 most frequent RFEs accounted for 45.2% of all RFEs, fever being the most frequent (10.0%). Some RFEs were terminated mostly as telephone consultations [e.g. insect bite/sting (75.9%)], whereas others were most often referred for a face-to-face contact [i.e. dyspnoea (79.1%)] or directly to hospital [i.e. chest pain (29.4%)].CONCLUSION: The distribution of the RFEs on triage outcomes, dominated by more severe diagnoses in referrals indicates a suitable referral level. However, future research on factors related to the demanding task of telephone triage is highly relevant for postdoctoral training of GPs.",
author = "Grete Moth and Linda Huibers and Christensen, {Morten Bondo} and Peter Vedsted",
note = "{\textcopyright} The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.",
year = "2016",
month = jun,
day = "21",
doi = "10.1093/fampra/cmw048",
language = "English",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Oxford University Press",

}

RIS

TY - JOUR

T1 - Out-of-hours primary care - a population-based study of the diagnostic scope of telephone contacts

AU - Moth, Grete

AU - Huibers, Linda

AU - Christensen, Morten Bondo

AU - Vedsted, Peter

N1 - © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

PY - 2016/6/21

Y1 - 2016/6/21

N2 - BACKGROUND: GPs answer all patient calls to the out-of-hours primary care (OOH-PC) services in Denmark. Knowledge is scarce on how the triage-GPs act on the specific reasons for encounter (RFE).OBJECTIVE: This study aims to describe the RFEs, the applied diagnoses and the severity of health problems presented in calls to the OOH-PC.METHODS: This was a 1-year cross-sectional study based on IT-integrated pop-up questionnaires addressing patients' health problems. We included only telephone contacts that were categorized according to their triage outcome as telephone consultations, direct admissions to hospital or referrals for face-to-face contact. The GP-assessed severity was calculated for age groups and types of outcome. We identified the 20 most frequent primary RFEs and diagnoses for each type of contact termination.RESULTS: We included 7810 telephone calls. Calls considered non-severe made up two-thirds of the calls terminated as telephone consultations, whereas calls considered potentially severe made up the main part of referrals (52.3%). Overall, the 20 most frequent RFEs accounted for 45.2% of all RFEs, fever being the most frequent (10.0%). Some RFEs were terminated mostly as telephone consultations [e.g. insect bite/sting (75.9%)], whereas others were most often referred for a face-to-face contact [i.e. dyspnoea (79.1%)] or directly to hospital [i.e. chest pain (29.4%)].CONCLUSION: The distribution of the RFEs on triage outcomes, dominated by more severe diagnoses in referrals indicates a suitable referral level. However, future research on factors related to the demanding task of telephone triage is highly relevant for postdoctoral training of GPs.

AB - BACKGROUND: GPs answer all patient calls to the out-of-hours primary care (OOH-PC) services in Denmark. Knowledge is scarce on how the triage-GPs act on the specific reasons for encounter (RFE).OBJECTIVE: This study aims to describe the RFEs, the applied diagnoses and the severity of health problems presented in calls to the OOH-PC.METHODS: This was a 1-year cross-sectional study based on IT-integrated pop-up questionnaires addressing patients' health problems. We included only telephone contacts that were categorized according to their triage outcome as telephone consultations, direct admissions to hospital or referrals for face-to-face contact. The GP-assessed severity was calculated for age groups and types of outcome. We identified the 20 most frequent primary RFEs and diagnoses for each type of contact termination.RESULTS: We included 7810 telephone calls. Calls considered non-severe made up two-thirds of the calls terminated as telephone consultations, whereas calls considered potentially severe made up the main part of referrals (52.3%). Overall, the 20 most frequent RFEs accounted for 45.2% of all RFEs, fever being the most frequent (10.0%). Some RFEs were terminated mostly as telephone consultations [e.g. insect bite/sting (75.9%)], whereas others were most often referred for a face-to-face contact [i.e. dyspnoea (79.1%)] or directly to hospital [i.e. chest pain (29.4%)].CONCLUSION: The distribution of the RFEs on triage outcomes, dominated by more severe diagnoses in referrals indicates a suitable referral level. However, future research on factors related to the demanding task of telephone triage is highly relevant for postdoctoral training of GPs.

U2 - 10.1093/fampra/cmw048

DO - 10.1093/fampra/cmw048

M3 - Journal article

C2 - 27328678

JO - Family Practice

JF - Family Practice

SN - 0263-2136

ER -