HISPANIC FAMILY MEDICAL INFORMATION TELEPHONE HELPLINE

需要支持来开发和现场测试对文化敏感的 由医生和护士组成的帮助西班牙裔的电话帮助热线 患者和家属在知情的情况下做出医疗保健决定。这条求助热线 将提供四项主要服务：1)为常规医疗提供咨询 关注事项：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 提供疾病预防和健康促进信息；以及4) 通过一个图书馆提供健康和医学背景信息 预先录制的语音留言。在第一阶段，我们将聘请护士，形成 咨询小组，制定初步方案，并进行有限的 该服务的现场测试。这将使我们能够评估可行性 提供准确的医疗和健康信息，确定最 请求的常见信息类型，确定谁是(以及谁不是) 使用这项服务，确定辅导员之间的信息一致性， 并制定一份协议和操作手册。在第二阶段，我们将建造 语音库，扩展系统以包括更多小时，覆盖 更大的地理区域，考验向其他非 ，并进行一项随机调查 以确定细胞后的知识和行为影响。 建议的商业应用：这条求助热线可以推广使用 直接作为900号码服务发送给讲西班牙语的公众，或者可以 为医疗保健机构、医院和保险公司提供合同服务。 为大多数人提供的类似服务已经证明 财务上取得了相当大的成功。

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.