HISPANIC FAMILY MEDICAL INFORMATION TELEPHONE HELPLINE

要求提供支助，以制定和实地测试一个对文化敏感的 由医生和护士组成的电话热线，帮助西班牙裔美国人 患者和家属做出知情的医疗保健决定。 该热线 将提供四项主要服务：1）提供常规医疗咨询 关注点：2）帮助患者了解选择和风险 与内科和外科手术相关; 3）提供呼叫者 提供预防疾病及促进健康的资讯;及 通过图书馆提供健康和医学背景信息， 预先录制的语音信息。 在第一阶段，我们将雇用护士， 咨询小组，制定初步协议，并进行有限的 现场测试服务。 这将使我们能够评估 提供准确的医疗和健康信息，确定最 常见类型的信息要求，确定谁是（和谁不是） 使用该服务，确定顾问之间的消息的一致性， 并制定一份协议和操作手册。 在第二阶段，我们将建立 语音库，扩大系统，包括更多的时间，涵盖 更大的地理区域，测试扩展到其他非 英语为母语的少数民族人口，并进行随机调查 以确定后细胞知识和行为影响。 建议的商业应用：该药物可推广使用 作为900号码服务直接向讲西班牙语的公众提供，或者可以 为健康维护组织、医院和保险公司提供合同服务。 为大多数人口提供的类似服务表明， 可观的财务成功。

Support is requested to develop and field test a culturally sensitive telephone helpline staffed by physicians and nurses to assist Hispanic patients and families make informed health care decisions. This helpline will provide four main services: 1) providing advice for routine medical concerns: 2) assisting patients to understand the choices and risks associated with medical and surgical procedures; 3) providing callers with disease prevention and health promotion information; and 4) providing health and medical background information through a library of prerecorded voice messages. In Phase I we will hire nurses, form an advisory group, develop preliminary protocols, and conduct a limited field test of the service. This will allow us to assess the feasibility of providing accurate medical and health information, determine the most common types of information requested, determine who is (and who is not) using the service, determine consistency of messages between counselors, and develop a protocol and operations manual. In Phase II we will build the voice library, expand the system to include more hours, cover a larger geographical area, test the potential for expanding to other non- English speaking minority populations, and carry out a randomized survey of users to determine post-cell knowledge and behavioral effects. PROPOSED COMMERCIAL APPLICATION: This helpline could be promoted for use directly to the Spanish speaking public as a 900 number service, or could provide contract service to HMOs, hospitals, and insurance companies. Similar services for the majority population have demonstrated considerable financial success.