Evaluating patient compliance with nurse advice line recommendations and the impact on healthcare costs.
Am J Manag Care
; 10(8): 534-42, 2004 Aug.
Article
em En
| MEDLINE
| ID: mdl-15352529
ABSTRACT
OBJECTIVE:
To explore the effect of telephone triage and advice lines in uninsured and managed care populations served by a safety net system and to document the relationship between the patient's initial plan for healthcare, the nurse recommendation, and the patient's subsequent healthcare action. STUDYDESIGN:
Prospective telephone survey. PATIENTS ANDMETHODS:
Of 1538 calls to a nurse advice line in a 28-day period, 710 (46%) callers were selected to be surveyed. Of those, 278 (39%) were surveyed by telephone within 7 days of their call to assess patient compliance with recommendations, the patient's actual healthcare actions, and their satisfaction with the service.RESULTS:
Patients' reported actions were classified as either (1) home care (46%), (2) clinic visit (27%), or (3) hospital visit (27%). Seventy percent of patients complied with nurse advice line recommendations. Most patient actions (68%) differed from their original healthcare plan, with many (46%) choosing a lower intensity of care. Changes from patients' original healthcare plans had a potential annual net savings of $322 249.CONCLUSION:
The simple act of calling a nurse triage and advice line corresponds with a change in the reported actions of uninsured and managed care patients and a potential reduction in costs to the safety net system providing their healthcare.
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Base de dados:
MEDLINE
Assunto principal:
Telecomunicações
/
Cooperação do Paciente
/
Custos de Cuidados de Saúde
/
Relações Enfermeiro-Paciente
Tipo de estudo:
Evaluation_studies
/
Guideline
/
Health_economic_evaluation
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Manag Care
Assunto da revista:
SERVICOS DE SAUDE
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Estados Unidos