Assathiany R, Rerolle J M, Messica C, Chevallier B, Odievre M
Association pour la recherche et l'enseignement en pédiatrie générale, 18, rue Sainte-Sophie, 78000 Versailles, France.
Arch Pediatr. 2003 Aug;10(8):689-93. doi: 10.1016/s0929-693x(03)00301-4.
To assess the amount of telephone activity in outpatient pediatric practice.
Seventy-nine pediatricians belonging to a continuing medical education group (Arepege) prospectively recorded data about all the telephone calls they took personally for 3 days, from 4 to 6 December 2000. They noted the number of calls each day and their duration, the caller, the reason for and the response to each call.
In 3 days, the 79 pediatricians received 4413 calls, for a mean of 19 calls daily for each practitioner. The calls were brief, 86% of them lasting less than 2 min; each pediatrician spent an average of 26 min a day on the telephone; most calls (82%) came from children's mothers. The reasons for the calls were: request for appointment (1035 calls, 23.5%), request for advice not associated with an acute disease (1416 calls, 32%), the onset of acute symptoms (1961 calls, 44.5%). An appointment was made in 26% of the cases for which the reason for the call was illness.
Pediatric private practice involves substantial telephone activity, which generates no healthcare costs, but does present risks that might be attenuated by the use of appropriate algorithms for conducting these telephone interviews.
评估儿科门诊的电话业务量。
79名属于继续医学教育组织（Arepege）的儿科医生前瞻性地记录了他们在2000年12月4日至6日这3天内亲自接听的所有电话的数据。他们记录了每天的电话数量及其时长、来电者、每个电话的原因及回复。
在3天内，79名儿科医生共接到4413个电话，每位医生平均每天接到19个电话。电话时长较短，86%的电话时长不到2分钟；每位儿科医生每天平均花26分钟在电话上；大多数电话（82%）来自孩子的母亲。打电话的原因有：预约（1035个电话，23.5%）、与急性疾病无关的咨询请求（1416个电话，32%）、急性症状发作（1961个电话，44.5%）。因疾病打电话的情况中，26%的病例安排了预约。
儿科私人诊所的电话业务量很大，这不会产生医疗费用，但确实存在风险，可通过使用适当的算法进行这些电话访谈来降低风险。
