Frisbee S J, Malloy M, Meurer J R, Kuhagen K A, Kini N M
Children's Hospital of Wisconsin, 9000 W Wisconsin Ave, PO Box 1997, MS #950, Milwaukee, WI 53201-1997, USA.
WMJ. 2001;100(5):55-8.
Evaluate the ability of a telephone triage service (TTS) to assess illness acuity of and patient compliance with advice given.
Retrospective, observational study.
Patients of an urban, academic, pediatric clinic whose parents or caregivers called the TTS between July 23, 1997 and August 23, 1997.
Patient outcomes and visit information at related medical encounters subsequent to a TTS call.
Patients were primarily African-American, under age 5, enrolled in a Medicaid HMO, and most often called for fever, HMO authorization, or asthma. Homecare and PED referrals were the two most frequent dispositions; overall compliance rate was 60%. No patient referred for non-emergent care required care on an urgent or emergent basis.
Initial results suggest that the TTS can effectively evaluate illness acuity in an urban population and compliance with advice is reasonable. A TTS may offer significant benefits to ensure care quality and contain costs in this population.
评估电话分诊服务（TTS）评估疾病严重程度以及患者对所给建议的依从性的能力。
回顾性观察研究。
1997年7月23日至1997年8月23日期间，其父母或照料者致电TTS的一家城市学术儿科诊所的患者。
TTS呼叫后相关医疗就诊时的患者结局和就诊信息。
患者主要为非裔美国人，年龄在5岁以下，参加了医疗补助健康维护组织（Medicaid HMO），最常因发烧、HMO授权或哮喘致电。家庭护理和儿科转诊是最常见的两种处置方式；总体依从率为60%。没有被转诊接受非紧急护理的患者需要紧急护理。
初步结果表明，TTS可以有效地评估城市人群的疾病严重程度，并且对建议的依从性是合理的。TTS可能会为确保该人群的护理质量和控制成本带来显著益处。
