Marklund B, Ström M, Månsson J, Borgquist L, Baigi A, Fridlund B
Research and Development Unit, Primary Health Care, Halland, Sweden.
J Nurs Manag. 2007 Mar;15(2):180-7. doi: 10.1111/j.1365-2834.2007.00659.x.
To evaluate a telephone nurse triage model in terms of appropriateness of referrals to the appropriate level of care, patient's compliance with given advice and costs.
A key concern in each telephonic consultation is to evaluate if appropriate.
An evaluative design in primary health care with consecutive patients (N = 362) calling telephone nurse triage between November 2002 and February 2003.
The advice was considered adequate in 325 (97.6%) cases. The patients' compliance with self-care was 81.3%, to primary health care 91.1% and to Accident and Emergency department 100%. The nurses referred self-care cases (64.7%) and Accident and Emergency cases (29.6%) from a less adequate to an appropriate level of care. The cost saving per call leading to a recommendation of self-care was euro 70.3, to primary health care euro 24.3 and to Accident and Emergency department euro 22.2.
The telephone nurse triage model showed adequate guidance for the patients concerning level of care and released resources for the benefit of both patients and the health care system.
从转诊到适当护理水平的适宜性、患者对所给建议的依从性和成本方面评估电话护士分诊模式。
每次电话咨询中的一个关键问题是评估是否恰当。
采用评价性设计，对2002年11月至2003年2月期间拨打电话护士分诊热线的连续患者（N = 362）进行研究。
在325例（97.6%）病例中，所给建议被认为是充分的。患者对自我护理的依从率为81.3%，对初级卫生保健的依从率为91.1%，对急诊科的依从率为100%。护士将自我护理病例（64.7%）和急诊科病例（29.6%）从不太适当的护理水平转诊到适当的护理水平。导致建议自我护理的每次呼叫节省成本70.3欧元，转诊到初级卫生保健节省24.3欧元，转诊到急诊科节省22.2欧元。
电话护士分诊模式在护理水平方面为患者提供了充分的指导，并释放了资源，使患者和医疗保健系统都受益。
