This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Informatics/ Internet in Medicine  • Telemedicine  • Medical Practice  • Medical Practice, Other  • Pediatrics, Other  • Quality of Care, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

Arch Pediatr Adolesc Med. 2003;157:617-618.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

TELEPHONE CARE provided during the work day and after hours is an increasing component of pediatric practice. Owing to the pressure to limit office and emergency department use, and the increasing expectations from families and payers to provide access to care and case management, primary care and specialist pediatricians are finding themselves dispensing more and more advice over the telephone.

After-hours telephone care, which is primarily focused on providing clinical triage and advice, represents a unique set of challenges. The typical pediatrician in office practice will receive approximately 1000 after-hours triage and advice calls per year.¹ These calls involve significant medicolegal risks and require a high level of clinical judgment to undertake an accurate assessment and ensure a safe and appropriate disposition.

Telephone care in general, and after-hours telephone care specifically, is stressful and a source of physician dissatisfaction in practice. Therefore, it is not surprising that pediatricians are increasingly . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Does Telephone Triage Delay Significant Medical Treatment?: Advice Nurse Service vs On-Call Pediatricians
Thomas J. Lee, Larry J. Baraff, Judith Guzy, David Johnson, and Heide Woo
Arch Pediatr Adolesc Med. 2003;157(7):635-641.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Pediatric Telephone Call Centers: How Do They Affect Health Care Use and Costs?
Bunik et al.
Pediatrics 2007;119:e305-e313.
ABSTRACT | FULL TEXT  

Accuracy and Response Time When Clerks Are Used for Telephone Triage
Klasner et al.
CLIN PEDIATR 2006;45:267-269.