Jepson S, Holbrook J H, Hale D, Lyon J
Providence Medical Center, Portland, Oregon.
West J Med. 1994 Jun;160(6):529-33.
We surveyed Utah general internists (N = 134) regarding their attitudes toward and practices associated with telephone management of upper respiratory tract infections. The questionnaire contained 3 case vignettes--viral upper respiratory tract infection, streptococcal pharyngitis, and acute infectious epiglottitis--and a series of questions were asked about telephone diagnosis, management preferences (clinic versus telephone), and telephone management practices. The 53 respondents (40%) were able to make important diagnostic distinctions about upper respiratory tract infections from a written vignette. As the likelihood of a complicated or serious condition increased, patients would be appropriately triaged for clinical evaluation. Most internists would make a written record of the telephone conversation. Only 1 internist of the 53 would charge for telephone management.
我们就犹他州普通内科医生（N = 134）对上呼吸道感染电话管理的态度和相关做法进行了调查。问卷包含3个病例 vignettes——病毒性上呼吸道感染、链球菌性咽炎和急性感染性会厌炎——并就电话诊断、管理偏好（门诊与电话）以及电话管理做法提出了一系列问题。53名受访者（40%）能够根据书面 vignette 对上呼吸道感染做出重要的诊断区分。随着复杂或严重病情可能性的增加，患者会被适当分诊以进行临床评估。大多数内科医生会对电话交谈进行书面记录。53名内科医生中只有1名会对电话管理收费。
