Evidence map›Paper›PMID 32220912›Full record

ArticleBMJ open2020

Communication quality in telephone triage conducted by general practitioners, nurses or physicians: a quasi-experimental study using the AQTT to assess audio-recorded telephone calls to out-of-hours primary care in Denmark.

Dennis Schou Graversen, Linda Huibers, Morten Bondo Christensen, Flemming Bro, Helle Collatz Christensen, Claus Høstrup Vestergaard, Anette Fischer Pedersen

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 12% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. 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

7 authors at 2 institutions in 1 country.

Dennis Schou GraversenResearch Unit for General Practice, Aarhus, Denmark d.graversen@ph.au.dk.ORCID 0000-0002-7784-9403
Linda HuibersResearch Unit for General Practice, Aarhus, Denmark.
Morten Bondo ChristensenResearch Unit for General Practice, Aarhus, Denmark.
Flemming BroResearch Unit for General Practice, Aarhus, Denmark.
Helle Collatz ChristensenEmergency Medical Services, Copenhagen, Copenhagen, Denmark.
Claus Høstrup VestergaardResearch Unit for General Practice, Aarhus, Denmark.
Anette Fischer PedersenResearch Unit for General Practice, Aarhus, Denmark.ORCID 0000-0003-0253-3671
Aarhus University · DKCopenhagen Municipal Hospital · DK

Funding

Bipolar Disorder &Alcohol Abuse ComorbidityK23MH001813 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FRYE, MARK A · 2001 to 2006
$834k
NIMH NIH HHS K23 MH001813
6 · The paper itself

Abstract

objectivesTo compare the quality of communication in out-of-hours (OOH) telephone triage conducted by general practitioners (GPs), nurses using a computerised decision support system and physicians with different medical specialities, and to explore the association between communication quality and efficiency, length of call and the accuracy of telephone triage.

designNatural quasi-experimental cross-sectional study.

settingTwo Danish OOH services using different telephone triage models: a GP cooperative and the medical helpline 1813.

participants1294 audio-recorded randomly selected OOH telephone triage calls from 2016 conducted by GPs (n=423), nurses using CDSS (n=430) and physicians with different medical specialities (n=441).

main outcome measuresTwenty-four physicians assessed the calls. The panel used a validated assessment tool (Assessment of Quality in Telephone Triage, AQTT) to measure nine aspects of communication, overall perceived communication quality, efficiency and length of call.

resultsThe risk of

conclusionsCompared with telephone triage by GPs, the communication quality was higher in calls triaged by nurses and lower in calls triaged by physicians with different medical specialities. However, calls triaged by nurses and physicians were longer and perceived less efficient. Quality of communication was associated with accurate triage.

Indexed as

After-Hours CareCommunicationQuality of Health CareTelephoneTriageAdolescentAdultAgedChildChild, PreschoolCross-Sectional StudiesDenmarkFemaleGeneral PractitionersHumansInfantclinical auditorganisation of health servicesprimary carequality in health care

Identifiers

PMID32220912
PMCPMC7170599
OpenAlexW3013776062

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.