Evidence map›Paper›PMID 9667088›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1998

Telephone triage of acute illness by a practice nurse in general practice: outcomes of care.

M Gallagher, T Huddart, B Henderson

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Systematic review of recent innovations in service provision to improve access to primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004
    Pooled it
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2017
    Article
  9. Article
  10. Article
  11. Explaining quality of life of older people in the Netherlands using a multidimensional assessment of frailty.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2013
    Article
  12. Article
  13. Survey of the impact of nurse telephone triage on general practitioner activity.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004
    Article
  14. Article
  15. Managing patient demand: a qualitative study of appointment making in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001
    Article
  16. Article
  17. Telemedicine in the National Health Service.Journal of the Royal Society of Medicine · 1998
    Article
  18. [Awareness of the Info-Sante CLSC telephone service by users of urgent care services].Canadian journal of public health = Revue canadienne de sante publique
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

M Gallagher
T Huddart
B Henderson

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelephone working is an increasingly important way of managing general practice workload, particularly out of hours. The role of telephone triage, however, in managing acute consultations during the day has not been adequately researched.

aimTo determine the impact of telephone triage, conducted by a practice nurse, on the management of same day consultations in a general practice.

methodA general practice of 11,300 patients in South Tyneside collected prospective telephone and surgery consultation data over three months. Patient satisfaction, for those who had received only telephone advice, was measured using a postal questionnaire. Four outcomes were measured: changes in doctor and nurse workload; repeat consultations with the same problem; prescriptions issued; and patient satisfaction with the service.

resultsIn three months, 1263 consultations were recorded. Doctor workload fell by 54%, from 1522 to 664 consultations, compared with the previous three months. A total of 325 (26%) telephone requests to see the doctor were managed by the nurse on the telephone without them visiting the surgery. Also, 273 (21%) patients saw the nurse in the surgery, 565 (45%) saw the doctor in the surgery, and 99 (8%) saw the doctor and the nurse in the surgery. The response rate to the postal questionnaire was 192/271 (71%); 154 (88%) were satisfied with nurse telephone advice.

conclusionsTelephone triage, by a practice nurse, of patients who wish to see the doctor on the same day, reduced doctor workload. This was a service that patients liked.

Indexed as

NursesTelephoneFamily PracticeHumansPatient SatisfactionTriageWorkload

Identifiers

PMID9667088
PMCPMC1410031

What OpenQuestion holds

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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.