Philips H, Van Bergen J, Huibers L, Colliers A, Bartholomeeusen S, Coenen S, Remmen R
Department of Primary and Interdisciplinary Care, University of Antwerp , Antwerp, Wilrijk, Belgium.
Acta Clin Belg. 2015 Oct;70(5):309-14. doi: 10.1179/2295333715Y.0000000017. Epub 2015 Mar 30.
In some European countries telephone triage (TT) during out-of-hours primary care showed to be safe and effective. Other countries, such as Belgium, may not have trained auxiliary personnel while their national health services want to establish TT.
To compare urgency levels assessed by secretaries and general practitioners in one general practice cooperative in Belgium.
Percentage of correct-, under-, and over-triage were calculated in total and per reason for encounter. Inter-rater agreement was investigated.
The secretaries correctly triaged (same urgency level) 77% of the telephone calls, under-triaged 10% and over-triaged 13%.'Shortness of breath', 'skin cuts', 'chest pain', 'feeling unwell' and 'syncope' were often under-triaged.
Before introducing TT, auxiliary staff should be trained and protocols should be used.
在一些欧洲国家，非工作时间初级医疗保健中的电话分诊（TT）已被证明是安全有效的。而其他国家，如比利时，可能没有经过培训的辅助人员，但其国家卫生服务部门希望建立电话分诊。
比较比利时一家全科医疗合作社中秘书和全科医生评估的紧急程度。
计算总体及每种就诊原因的正确分诊、分诊不足和分诊过度的百分比。调查评分者间信度。
秘书正确分诊（相同紧急程度）了77%的电话，分诊不足10%，分诊过度13%。“呼吸急促”“皮肤割伤”“胸痛”“身体不适”和“晕厥”经常被分诊不足。
在引入电话分诊之前，应培训辅助人员并使用相关规程。
