McCarthy M, Bollam M
Department of Community Medicine, University College, London.
Br J Gen Pract. 1990 Jan;40(330):19-21.
Telephone advice in out of hours general practice consultations has been infrequently described in the United Kingdom. Data from 13 general practices (77 doctors) in north London were collected over four-week periods. Of the 970 calls recorded, 86% were managed directly by the practice, and 14% by a deputizing service. The percentage of calls managed by telephone advice varied from 5% to 57% (mean 37%). Use of deputies increased at night, but general practitioners remaining on call maintained their telephone advice rates. In all but one practice trainees also gave telephone advice, but the overall proportion of calls managed by trainees (33%) was lower than that of principals (48%). Children and adults under 60 years, more frequently received telephone advice than elderly patients, as did patients noted by the general practitioners as habitual callers compared with other patients.
在英国，关于非工作时间全科医疗咨询中的电话建议鲜有描述。收集了伦敦北部13家全科诊所（77名医生）四周期间的数据。在记录的970个电话中，86%由诊所直接处理，14%由代理服务处理。通过电话建议处理的电话百分比从5%到57%不等（平均37%）。夜间代理服务的使用增加，但值班的全科医生保持其电话建议率。除一家诊所外，实习医生也提供电话建议，但实习医生处理的电话总体比例（33%）低于主任医师（48%）。60岁以下的儿童和成年人比老年患者更频繁地接受电话建议，与其他患者相比，被全科医生记录为习惯性来电者的患者也是如此。
