Poison control center communication and impact on patient adherence
Poison control center communication and impact on patient adherence
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DOI：
10.1080/15563650701338914
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发表时间：
2008-02-01
影响因子：
3.3
通讯作者：
Dudley, William
中科院分区：
文献类型：
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作者：
Ellington, Lee;Matwin, Sonia;Dudley, William
Objective.这个项目探讨了与中毒控制中心呼叫相关的通信过程。方法.在这项初步研究中，我们采用了Roter互动分析系统来捕捉工作人员与来电者的对话。这涉及病例选择，其中选择了依从性和不依从性病例;呼叫与医疗记录的联系，其中病例记录与录音联系;以及将Roter交互分析系统应用于呼叫。结果结果表明，通信主要是由提供者驱动的。患者年龄和工作人员的伙伴关系声明的百分比与依从性在0.05的水平显着相关。年龄的增加与对建议的依从性降低相关（p < 0.001）。工作人员的伙伴关系声明（在所有工作人员谈话）的百分比增加与遵守率的增加（p = 0.013）。结论这一系列的研究可能会导致有效的工作人员来电沟通，提高依从率，并改善健康结果的循证指南。
Objective. This project explored the communication processes associated with poison control center calls. Methods. In this preliminary study, we adapted the Roter Interaction Analysis System to capture staff-caller dialogue. This involved case selection, wherein adherence and non-adherence cases were selected; call linkage to medical records, where case records were linked with voice recordings; and application of Roter Interaction Analysis System to calls. Results. Results indicate that communications are predominantly provider-driven. Patient age and percentage of staff partnership statements were significantly associated with adherence at the 0.05 level. Increases in age were associated with decreases in adherence to recommendations (p < 0.001). Increases in percentage of staff partnership statements (over all staff talk) were associated with increases in adherence (p = 0.013). Conclusion. This line of research could lead to evidence-based guidelines for effective staff-caller communication, increased adherence rates, and improved health outcomes.