Evidence map›Paper›PMID 30712448›Full record

Trial reportScandinavian journal of primary health care2019

Giving callers the option to bypass the telephone waiting line in out-of-hours services: a comparative intervention study.

J F Ebert, L Huibers, B Christensen, F K Lippert, M B Christensen

Abstract readClinical TrialComparative Study
In one paragraph

Trial report in Scandinavian journal of primary health care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Do callers to out-of-hours care misuse an option to jump the phone queue?Scandinavian journal of primary health care · 2019
    Trial
  4. Evaluation of the performance of telephone triage service.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. 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

5 authors.

J F Eberta Section for General Medical Practice, Department of Public Health , Aarhus University , Aarhus C , Denmark.
L Huibersb Research Unit for General Practice , Aarhus C , Denmark.
B Christensena Section for General Medical Practice, Department of Public Health , Aarhus University , Aarhus C , Denmark.
F K Lippertc Emergency Medical Services Copenhagen , University of Copenhagen , Copenhagen , Denmark.
M B Christensenb Research Unit for General Practice , Aarhus C , Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAcute out-of-hours (OOH) healthcare is challenged by potentially long waiting time for callers in acute need of medical aid. OOH callers must usually wait in line, even when contacting for highly urgent or life-threatening conditions. We tested an emergency access button (EAB), which allowed OOH callers to bypass the waiting line if they perceived their health problem as severe. We aimed to investigate EAB use and patient characteristics associated with this use.

designComparative intervention study.

settingOOH services in two major Danish healthcare regions.

interventionGiving callers the option to bypass the telephone waiting line by introducing an EAB.

participantsOOH service callers contacting during end of October to mid-December 2017.

main outcome measuresProportions of EAB use, waiting time and background information on participants in two settings differing on organisation structure, waiting time and triage personnel.

resultsIn total, 97,791 out of 158,784 callers (61.6%) chose to participate. The EAB was used 2905 times out of 97,791 (2.97%, 95%CI 2.86; 3.08). Patient characteristics associated with increased EAB use were male gender, higher age, low education, being retired, and increasing announced estimated waiting time. In one region, immigrants used the EAB more often than native Danish callers.

conclusionOnly about 3% of all callers chose to bypass the waiting line in the OOH service when given the option. This study suggests that the EAB could serve as a new and simple tool to reduce the waiting time for severely ill patients in an OOH service telephone triage setting. Key Points Acute out-of-hours healthcare is challenged by overcrowding and increasing demand for services. This study shows that only approximately 3% of callers chose to bypass the telephone waiting queue when given the opportunity through an emergency access button. An emergency access button may serve as a new tool to help reduce the triage waiting time for severely ill patients in out-of-hours medical facilities.

Indexed as

After-Hours CareChoice BehaviorEmergenciesHealth Services AccessibilitySelf-AssessmentTelephoneWaiting ListsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDelivery of Health CareDenmarkFemaleaccessibilityhealth literacyhealth servicesOut-of-hours primary caretriage

Identifiers

PMID30712448
PMCPMC6452808

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.