Evidence map›Paper›PMID 23335953›Full record

ArticlePloS one2013

Satisfaction and public health cost of a statewide influenza nurse triage line in response to pandemic H1N1 influenza.

Alicen B Spaulding, Deborah Radi, Heather Macleod, Ruth Lynfield, Michelle Larson, Terri Hyduke, Peter Dehnel, Aaron S DeVries

Abstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alicen B SpauldingSchool of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Deborah Radi
Heather Macleod
Ruth Lynfield
Michelle Larson
Terri Hyduke
Peter Dehnel
Aaron S DeVries

Funding

Emerging Infections Programs-ARRA-HAIU01CI000313 · CI · MINNESOTA STATE DEPT OF HEALTH · PI DANILA, RICHARD NORMAN · 2005 to 2011
$19.6M
NCPDCID CDC HHS 5U01CI000313-05NCPDCID CDC HHS U01 CI000313OPHPR CDC HHS 1H75TP000348-01OPHPR CDC HHS H75 TP000348
6 · The paper itself

Abstract

backgroundThe 2009 H1N1 pandemic strained healthcare systems. There was a need for supportive services, rapid antiviral access, and minimization of unnecessary healthcare contacts particularly face-to-face interactions. In response, the Minnesota Department of Health (MDH) launched a telephone-based nurse triage line (NTL) called the Minnesota FluLine coordinating all major MN healthcare systems with NTLs to form a single toll-free number triage service. Callers were evaluated for symptoms of influenza-like illness (ILI) and were prescribed an antiviral if indicated, using nurse administered protocols.

methodsTo determine caller outcomes, associated healthcare seeking, and satisfaction a telephone survey of Minnesota FluLine callers was conducted using a 5% random sample of those who completed the protocol and those who did not.

resultsOf 6,122 callers with ILI who began the nurse protocol administered by the contract NTL, 1,221 people were contacted for the survey and 325 agreed to participate; response rate was 26%. Of those who completed the nurse protocol 73% said they would have sought healthcare without the Minnesota FluLine, 89% reported the service was moderately or very helpful, and 91% reported being satisfied or very satisfied. Of those not completing the protocol, 50% reported the service was moderately or very helpful and 50% reported being satisfied or very satisfied. 72% of qualitative responses to open-ended questions were positive regarding the MN FluLine. Cost to MDH for operating the Minnesota FluLine service was $331,226 to service 27,391 callers ($12.09/call). DISCUSSION: The Minnesota FluLine diverted patients with mild ILI symptoms away from acute care visits at low cost and had a high rate of satisfaction among callers. Early intervention likely prevented morbidity and possibly additional cases. NTLs are powerful and flexible tools for pandemic response and should be considered as an important tool for future emergency responses.

Indexed as

Health Care CostsInfluenza A Virus, H1N1 SubtypePatient SatisfactionAdolescentAdultAgedAnswering ServicesChildChild, PreschoolEvaluation Studies as TopicFemaleHealth SurveysHotlinesHumansInfantInfant, Newborn

Identifiers

PMID23335953
PMCPMC3546035

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.