Strasser P H, Levy J C, Lamb G A, Rosekrans J
Pediatrics. 1979 Nov;64(5):553-7.
A randomized clinical trial of pediatric protocols administered by health assistants demonstrated an alternate method of handling telephone complaints in a large emergency room. The new system advised a higher medical examination rate than the current system in the emergency room probably bacause the current system has deficits with respect to collecting necessary information and making explicit decisions. This higher rate of recommended visits demonstrated in the emergency room was not confirmed in the two pediatric primary-care settings in which the protocol system was also tested. In addition to this use, the telephone protocols may also be useful in training medical and nursing students, in handling telephone complaints similar to a poison control center, in triaging problems in a rural or emergency medical service, and in providing a record of the telephone call.
一项由健康助理执行的儿科诊疗方案随机临床试验，展示了在大型急诊室处理电话投诉的另一种方法。新系统建议的急诊室医疗检查率高于现行系统，这可能是因为现行系统在收集必要信息和做出明确决策方面存在缺陷。在急诊室所显示的这种较高的建议就诊率，在另外两个对诊疗方案系统进行测试的儿科初级保健机构中并未得到证实。除了这种用途外，电话诊疗方案在培训医学和护理专业学生、处理类似于中毒控制中心的电话投诉、对农村或紧急医疗服务中的问题进行分诊以及提供电话记录方面也可能有用。
