Perry C M, Gabe M G, Metcalf C C
Division of Geriatric Medicine, Meridia Huron Hospital, East Clevland, Ohio, USA.
Home Care Provid. 1998 Apr;3(2):100-3, 110. doi: 10.1016/s1084-628x(98)90177-0.
Home health care is growing, and phone calls between physicians and home care nurses are essential to successful home care patient management. This preliminary study analyzed several aspects of the physician and home health nurse telephone communication, including effectiveness, time expenditure, percentage of calls resolved by physicians, and documentation of phone contacts between 90 medical/surgical physicians and six home health nurses in Cleveland, Ohio. The phone conversations involved 154 patient contacts during a 3-month period. Overall, we found 75% of the home calls were effective. Eighty-five percent of calls required 15 minutes or less for completion, 47% of nurse-generated calls were resolved by physicians, and 26% of calls were documented in the patient's medical record. Our results illuminated several aspects of home care communication amenable to improvement.
家庭医疗保健正在不断发展，医生与家庭护理护士之间的电话沟通对于成功管理家庭护理患者至关重要。这项初步研究分析了医生与家庭健康护士电话沟通的几个方面，包括有效性、时间花费、医生解决的电话百分比，以及俄亥俄州克利夫兰市90名内科/外科医生与6名家庭健康护士之间电话联系的记录。在3个月的时间里，电话交谈涉及154名患者。总体而言，我们发现75%的家庭电话是有效的。85%的电话完成时间需要15分钟或更短，47%由护士发起的电话由医生解决，26%的电话记录在患者的病历中。我们的结果揭示了家庭护理沟通中几个有待改进的方面。
