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Titre : | ED Utilization by Uninsured and Medicaid Patients after Availability of Telephone Triage (2016) |
Auteurs : | Tim Howell |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 42, n°2, March 2016) |
Article en page(s) : | p. 120-124 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Assurance ; Consultation médicale ; Prise en charge ; Soins ; Soins d'urgence ; Téléphone ; Tri ; Urgences |
Résumé : |
Problem
For emergency departments experiencing crowding and a high percentage of patients leaving without being seen, a telephone triage service can provide other care options for low-acuity patients. Methods A nonexperimental pre- and postintervention comparative design was used to measure ED visit volumes from Medicaid and uninsured patients presenting with a low-acuity health care problem. Visit volumes for the 12 months before and 12 months after the initiation of telephone triage were compared. Results The overall low-acuity visit volume increased in the first 12 months of telephone triage availability. However, the proportion of low-acuity Medicaid and uninsured patients seeking ED care decreased. For the first 12 months of operation, telephone triage received 10,055 calls. Sixty percent of the calls (N = 6086) were from uninsured and Medicaid patients. More than 43% of the calls resulted in a self-care decision. Implications for Practice A telephone triage service may help decrease ED crowding by communicating other care options to patients with low-acuity health problems. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |