Telephone use in primary care

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Telephone first consultations in primary care

General practice in the UK, as in many other countries, is under considerable strain. Despite rising list sizes and an increasingly elderly population with complex needs, the number of full time equivalent general practitioners has fallen. Patients report recent deterioration in the accessibility of GP services. UK health policy makers have suggested that alternatives to face to face consultati...

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Incremental benefit and cost of telephone care management and telephone psychotherapy for depression in primary care.

CONTEXT Effectiveness of organized depression care programs is well established, but dissemination will depend on the balance of benefits and costs. OBJECTIVES To estimate the incremental benefit, incremental cost, and net benefit of 2 depression care programs. DESIGN Randomized trial comparing 2 interventions with continued usual care, conducted between November 2000 and June 2004. SETTI...

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Computer-assisted telephone interview (CATI) in primary care.

OBJECTIVES We aimed to study the prevalence of cardiovascular disease (CVD) risk factors among 11,000 inhabitants in Northern Helsinki, and to identify high-risk individuals in the area and direct them to the local primary-health-care-centred CVD-risk-factor prevention programme. METHOD We conducted a computer-assisted telephone interview (CATI), a descriptive survey and primary care unit sea...

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Harm resulting from inappropriate telephone triage in primary care.

PURPOSE Our objective was to assess and categorize harm occurring to patients who called their physicians' office after-hours but did not have their call forwarded to the physician because they stated that their call was not an emergency. METHODS We collected data on 4949 calls handled by our answering service for 1 year in a family medicine residency office in Denver, CO. Of the 2835 after-h...

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Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: a randomized controlled trial.

CONTEXT Both antidepressant medication and structured psychotherapy have been proven efficacious, but less than one third of people with depressive disorders receive effective levels of either treatment. OBJECTIVE To compare usual primary care for depression with 2 intervention programs: telephone care management and telephone care management plus telephone psychotherapy. DESIGN Three-group...

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ژورنال

عنوان ژورنال: BMJ

سال: 2002

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.325.7363.547