New Zealand Healthline call data used to measure the effect of travel time on the use of the emergency department
New Zealand Healthline call data used to measure the effect of travel time on the use of the emergency department
复制标题
DOI：
10.1016/j.socscimed.2017.02.035
复制
发表时间：
2017-04-01
影响因子：
5.4
通讯作者：
Kingham, Simon
中科院分区：
文献类型：
--
作者：
Griffin, Edward;McCarthy, John P.;Kingham, Simon
电话分诊是一种越来越多地用于连接地理上遥远的人群的卫生工具。此类服务还用于解决急诊室（艾德）过度使用的问题。新西兰的远程分类服务-保健热线-自2001年以来一直存在，但尚未成为分析的重点。本研究旨在了解前往艾德的旅行时间对健康热线用户遵守电话建议的作用。此外，剥夺的作用在健康热线（作为来电行为的决定因素）进行了检查。到艾德的旅行时间被发现会影响健康热线咨询对来电者的影响，但这并没有被剥夺所混淆。那些居住在最接近艾德的人更有可能参加时，建议，不太可能远离，如果被告知，以避免ED。不同的时间段显示出更强的趋势，这表明，来电者在不同的距离ED可能会或多或少的旅行时间和健康热线的建议的影响。(C)2017爱思唯尔有限公司版权所有
Telephone triage is a health tool increasingly used to connect geographically distant populations. Such services are also utilised to address issues of Emergency Department (ED) overuse. New Zealand's teletriage service, Healthline, has existed since 2001 but is yet to be the focus of analysis. This research sought to understand the role that travel time to ED had upon Healthline users' compliance with telephone advice. Additionally, the role of deprivation in Healthline (as a determinant of caller behaviour) was examined. Travel time to ED was found to influence the impact of Healthline advice upon callers but this was not confounded by deprivation. Those living closest to the ED were more likely to attend when advised to, and less likely to stay away if told to avoid the ED. Different time brackets showed stronger trends, suggesting that callers at varying distances from EDs may be more or less influenced by both travel time and Healthline advice. (C) 2017 Elsevier Ltd. All rights reserved.