Flynn D M
U.S. Army Health Clinic, Presidio of Monterey, CA 93944-5000, USA.
Mil Med. 1998 Oct;163(10):702-6.
The provision of telephone access to a medical officer during nonduty hours was implemented by one Army health clinic to ensure continuous access to cost-efficient care after the closure of its supporting medical activity.
After-hours phone calls were tracked for 6 months. Callers were surveyed to determine if use of the system resulted in avoidance of self-referral to civilian medical facilities.
A mean of 70 calls per month (186 calls per 1,000 population per year) were placed to the on-call medical officer. Eight types of complaints accounted for more than three-quarters of calls. Fifty percent of callers were seen by the medical officer for an after-hours clinic visit, 38% were given advice for care at home, and 10% were referred to a civilian medical facility. Telephone triage yielded an estimated $8,447 in cost avoidance during a 6-week survey period.
Telephone triage can facilitate continuous access to cost-efficient care.
一家陆军健康诊所实施了在非工作时间让患者能够联系到医务人员的措施，以确保在其配套医疗活动关闭后患者仍能持续获得经济高效的护理服务。
对非工作时间的电话进行了为期6个月的跟踪。对打电话者进行了调查，以确定使用该系统是否避免了患者自行前往 civilian 医疗设施就诊。
平均每月有70个电话（每年每1000人口中有186个电话）打给值班医务人员。8种类型的投诉占电话总数的四分之三以上。50%的打电话者在非工作时间到诊所就诊，38%的人得到了在家护理的建议，10%的人被转至 civilian 医疗设施。在为期6周的调查期内，电话分诊估计节省了8447美元的费用。
电话分诊有助于持续获得经济高效的护理服务。
