Hallam L
Department of General Practice, University of Manchester, Rusholme Health Centre, England.
Fam Pract. 1989 Mar;6(1):47-57. doi: 10.1093/fampra/6.1.47.
This paper reviews the role of the telephone in delivering primary health care. It highlights the wide differences between the UK and other countries, notably the USA, in knowledge of and experience with telephone care. The volume and nature of telephone contacts in family medicine are explored before focusing on calls which may be described as consultations, both in and out of office hours. Aspects of telephone consultations examined include the quality of care, the effectiveness of training programmes and the role of other health professionals. Important gaps in the literature are identified, including the lack of comparisons between telephone and face-to-face care in terms of the quality of process and outcomes and the lack of data on costs and benefits.
本文回顾了电话在提供初级卫生保健方面的作用。它突出了英国与其他国家（尤其是美国）在电话护理知识和经验方面的巨大差异。在关注可被描述为咨询的电话（包括办公时间内和办公时间外）之前，先探讨了家庭医学中电话联系的数量和性质。所研究的电话咨询方面包括护理质量、培训项目的有效性以及其他卫生专业人员的作用。确定了文献中的重要空白，包括在过程质量和结果方面缺乏电话护理与面对面护理的比较，以及缺乏成本和效益数据。
